Samson-Fang, Lisa J

Samson-Fang, Lisa J is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Samson-Fang, Lisa J can be contacted via phone (801) 581-3501.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0001
Phone: (801) 581-3501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 360059-1205 Utah

Profile Details

NPI number 1821188442
LBN Legal business name Samson-Fang, Lisa J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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