MRS. Lisa Ann Runyon, CPNP
NPI #1003091430 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1003091430
- Entity Type
- Individual
- Name
- MRS. Lisa Ann Runyon, CPNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CPNP
- Enumeration Date
- Jan 3, 2008
- Last Updated
- Jan 3, 2008
Practice Location
- Address
- 100 N MEDICAL DR
- Address 2
- TRAUMA SERVICES
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1103
- Phone
- (801) 662-2993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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