Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Ladle Archibald, PA-C

Individual provider Physician Assistant · NPI 1770053167

Lisa Ladle Archibald, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2018, 8 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5171 S Cottonwood St
Murray, UT 84107-5704
Phone: (801) 507-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 74 E Kimballs Ln Ste 300, Draper, UT 84020-5009 — (801) 572-0311

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8496933-1206 (UT)

Record details

NPI number1770053167
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2018
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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