Mrs. Lisa Ann Runyon
Nurse Practitioner - Pediatrics
100 N Medical Dr Trauma Services
Salt Lake City
, Utah 84113-1103
Mrs. Lisa Ann Runyon
Nurse Practitioner - Pediatrics
100 N Medical Dr Trauma Services
Salt Lake City
, Utah 84113-1103
(801) 662-2999
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Lisa Ann Runyon
- 100 N Medical Dr Trauma Services
- Salt Lake City, UT
- Zip : 84113-1103
- Fax : (801) 662-2999
- Phone : (801) 662-2993
Second Address
- Mrs. Lisa Ann Runyon
- 100 N Medical Dr Trauma Services
- Salt Lake City, UT
- Zip : 84113-1103
- Fax : (801) 662-2999
- Phone : (801) 662-2993
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 216679-4405 | UT |
National Provider Identifier
| NPI | 1003091430 |
|---|---|
| Provider Name | Mrs. Lisa Ann Runyon |
| First Address | Salt Lake City, UT 84113-1103 |
| Second Address | Salt Lake City, UT 84113-1103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2008 |
| Last Update Date | 03/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.