DR. Lisa Ditlev Aste, MD

NPI #1225205941 in Provo, Utah

Provider Information

NPI Number: 1225205941
Entity Type: Individual
Name: DR. Lisa Ditlev Aste, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor - Internist
Credential: MD
Enumeration Date: May 12, 2008
Last Updated: May 23, 2008

Practice Location

Address: 1300 E CENTER ST
City: Provo
State: Utah
ZIP Code: 84606-3554
Phone: (801) 344-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Chiropractor - Internist — Internist	111NI0900X	Primary

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