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NPI Code Detail

MEDICARE: LISA DOYLE MD

MEDICARE: LISA DOYLE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician33276AZ
2207P00000XEmergency Medicine Physician6210980-8905UT

General Provider Information

NPI Number : 1255304408
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA DOYLE MD
Provider Business Mailing Address
First Line : 385 PIONEER RIDGE RD
Second Line :
City : SLC
State : UT
Zip : 84108-1661
Country : US
Telephone Number : 801-583-1399
Fax Number :
Provider Business Practice Location Address
First Line : 5770 FASHION BLVD
Second Line :
City : MURRAY
State : UT
Zip : 84107-6548
Country : US
Telephone Number : 801-314-2875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 07/08/2007

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Directions to “ LISA DOYLE MD” Practice Location

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