Lisa Nicole Anderson, MD
Lisa Nicole Anderson, MD is a General Surgery in Provo, Utah. Graduated from Texas a & M University System, Hsc, College of Medicine in 2017, 9 years ago. Licensed in Ohio, Texas and Utah.
- Years since qualifying
- 9
- Trained at
- Texas a & M University System, Hsc, College of Medicine
- Licensed in
- OH, TX, UT
- In the registry since
- 2017
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1055 N 300 W Ste 101Provo, UT 84604-3381
Phone: (801) 852-3460
Fax: (801) 852-3459
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 14242949-1205 (UT) |
|---|---|
| Surgical Oncology Physician | Taxonomy 2086X0206X · Licence 35.149055 (OH) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 664589 (TX) |
| Surgical Oncology Physician | Taxonomy 2086X0206X · Licence V2686 (TX) |
Record details
| NPI number | 1992226021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 28, 2017 |
| Last updated in NPPES | July 27, 2026 |
| Certification date | July 27, 2026 |
| Mailing address | 3550 N University Ave Ste 250, Provo, UT 84604-6695 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Provo
-
Tyler Clyff Allen, DO
3550 N University Ave Ste 250, Provo, UT 84604-6695 · (801) 374-9625
-
James Robert Barrett, MD
3550 N University Ave Ste 250, Provo, UT 84604-6695 · (801) 374-9625
-
Dr. James M Clayton Jr., MD
280 River Park Dr Ste 240, Provo, UT 84604-5764 · (801) 375-4646
-
Craig S Cook, MD
3550 N University Ave Ste 250, Provo, UT 84604 · (801) 374-9625
-
Dr. Mark Allen Fullmer, MD
1055 N 300 W Ste 418, Provo, UT 84604-3344 · (801) 357-7100