Lisa Ann Runyon in Salt Lake City - Pediatrics

Lisa Ann Runyon - NPI 1003091430

Lisa Ann Runyon is a Pediatrics in Salt Lake City, Utah. Lisa Ann Runyon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa Ann Runyon is 1003091430. The last update date is 2008-01-03.

Lisa Ann Runyon's current location address is 100 N Medical Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016622993 and fax number 8016622999. The mailing address for Lisa Ann Runyon is 100 N Medical Dr, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Ann Runyon
Address 100 N Medical Dr, Salt Lake City, Utah
Phone Number 8016622993
Fax Number 8016622999
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1003091430
Provider Enumeration Date 2008-01-03
Last Updated Date 2008-01-03

Provider Mailing Address Detail

Address 100 N Medical Dr
City Salt Lake City
State Utah (UT)
Post Code 841131103
Phone Number 8016622993
Fax Number 8016622999

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 216679-4405
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Lisa Ann Runyon

What is the unique identification code assigned to Lisa Ann Runyon by the Centers for Medicare & Medicaid Services?

The Lisa Ann Runyon has been issued the NPI (National Provider Identifier) 1003091430. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Lisa Ann Runyon's facilities are situated?

The facilities of Lisa Ann Runyon are physically located at the following address: 100 N Medical Dr, Salt Lake City, UT, 841131103.

What is Lisa Ann Runyon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lisa Ann Runyon is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.

On what date did the Lisa Ann Runyon receive its 1003091430 assignment from the Centers for Medicare & Medicaid Services?

The Lisa Ann Runyon was assigned its 1003091430 by the Centers for Medicare & Medicaid Services on 2008-01-03.

When was the Lisa Ann Runyon's information last updated?

The Lisa Ann Runyon's information was last updated on 2008-01-03.

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