Lisa A.w. Griffin, PA-C

NPI #1891901179 in Provo, Utah

Provider Information

NPI Number: 1891901179
Entity Type: Individual
Name: Lisa A.w. Griffin, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 15, 2007
Last Updated: Aug 14, 2008

Practice Location

Address: 1055 N 500 W
Address 2: SUITE 222
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 377-4623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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