Individual
LISA MARIE CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
44 S 250 E, NORTH SALT LAKE, UT 84054-1705
(801) 674-0787
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
161439645
UT
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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