Lisa J George, PA-C

NPI #1134771496 in Provo, Utah

Provider Information

NPI Number: 1134771496
Entity Type: Individual
Name: Lisa J George, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 16, 2019
Last Updated: Feb 9, 2023

Practice Location

Address: 395 W COUGAR BLVD STE 704
City: Provo
State: Utah
ZIP Code: 84604-3333
Phone: (801) 357-3242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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