Lisa Marie Stubbs, PA-C

NPI #1427222827 in Provo, Utah

Provider Information

NPI Number: 1427222827
Entity Type: Individual
Name: Lisa Marie Stubbs, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 16, 2008
Last Updated: Oct 2, 2018

Practice Location

Address: 1900 N STATE ST
City: Provo
State: Utah
ZIP Code: 84604-1305
Phone: (801) 373-2001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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