Lisa Ladle Archibald, PA-C

NPI #1770053167 in Draper, Utah

Provider Information

NPI Number: 1770053167
Entity Type: Individual
Name: Lisa Ladle Archibald, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 28, 2018
Last Updated: Feb 14, 2019

Practice Location

Address: 74 E KIMBALLS LN STE 300
City: Draper
State: Utah
ZIP Code: 84020-5009
Phone: (801) 572-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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