Lisa J Samson-Fang in Salt Lake City - Developmental - Behavioral Pediatrics
Lisa J Samson-Fang - NPI 1821188442
Lisa J Samson-Fang is a Developmental - Behavioral Pediatrics in Salt Lake City, Utah. Lisa J Samson-Fang practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Lisa J Samson-Fang is 1821188442. The last update date is 2007-07-08.
Lisa J Samson-Fang's current location address is 50 N Medical Dr, Salt Lake City, Utah. You can contact this provider via phone number 8015813501. The mailing address for Lisa J Samson-Fang is 50 N Medical Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa J Samson-Fang |
|---|---|
| Address | 50 N Medical Dr, Salt Lake City, Utah |
| Phone Number | 8015813501 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821188442 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 N Medical Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841320001 |
| Phone Number | 8015813501 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 360059-1205 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa J Samson-Fang by the Centers for Medicare & Medicaid Services?
The Lisa J Samson-Fang has been issued the NPI (National Provider Identifier) 1821188442 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lisa J Samson-Fang?
The Lisa J Samson-Fang is situated at 50 N Medical Dr, in the city of Salt Lake City, state of UT, with the zip code 841320001.
What is Lisa J Samson-Fang's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa J Samson-Fang is Developmental - Behavioral Pediatrics, and the taxonomy code that categorizes this field of expertise is 2080P0006X.
On what date did the Lisa J Samson-Fang receive its 1821188442 assignment from the Centers for Medicare & Medicaid Services?
The Lisa J Samson-Fang was assigned its 1821188442 by the Centers for Medicare & Medicaid Services on 2006-10-13.
As of what date were the details pertaining to Lisa J Samson-Fang last refreshed?
The information related to the Lisa J Samson-Fang, including its address, specialty, and other relevant details, was last updated on 2007-07-08.