(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003530429
Provider Name: LISA MARIE HANSON NP
Entity Type: Individual
Taxonomy Code: 207QA0505X
Specialty: Family Medicine
License Number: 5984518-4405
Most Important Dates
Enumeration Date: 09/29/2022
Last Updated: 09/29/2022
Provider Practice Location
4538 W SOUTH JORDAN PKWY UNIT 110
SOUTH JORDAN
UT
840095852
Practice Location Phone/Fax
Phone: 8016616052
Fax:
Provider Mailing Location
4538 W SOUTH JORDAN PKWY UNIT 110
SOUTH JORDAN
UT
840095852
Provider Mailing Phone/Fax
Phone: 8016616052
Fax: