Lisa Stout, M.D.

NPI #1548263213 in Salt Lake City, Utah

Provider Information

NPI Number: 1548263213
Entity Type: Individual
Name: Lisa Stout, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: May 24, 2005
Last Updated: Mar 6, 2017

Practice Location

Address: 1060 E 100 S
Address 2: STE 110
City: Salt Lake City
State: Utah
ZIP Code: 84102-1591
Phone: (801) 531-9453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Urology	208800000X	Primary

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