Stout, Lisa
Stout, Lisa is an individual health care provider with primary practice located at 1060 E 100 S Ste 110, Salt Lake City UT 84102-1591. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Stout, Lisa can be contacted via phone (801) 531-9453.Contact Information
Primary practice address
1060 E 100 S Ste 110
Salt Lake City UT 84102-1591
Phone: (801) 531-9453
Fax: (801) 531-9467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 373658-1205 | Utah |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 373658-1205 | Utah |
Profile Details
| NPI number | 1548263213 |
|---|---|
| LBN Legal business name | Stout, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 6th, 2017 - about 9 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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