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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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