Lisa Pettus
Lisa Pettus is an Other Technician in Layton, Utah. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
934 S Main StLayton, UT 84041-7135
Phone: (801) 773-7060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1629439310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2016 |
| Last updated in NPPES | March 9, 2016 |
| Mailing address | 934 S Main St, Layton, UT 84041-7135 |
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