Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Ann Medina

Individual provider Speech-Language Pathologist · NPI 1174759922

Lisa Ann Medina is a Speech-Language Pathologist in Salt Lake City, Utah. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

1952 E 7000 S Ste 100
Salt Lake City, UT 84121-6878
Phone: (801) 942-3311
Fax: (801) 942-5955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 17277 (CA)

Record details

NPI number1174759922
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2009
Last updated in NPPESJune 8, 2009

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