| Lisa Marie Hanson, NP | |
|
4538 W South Jordan Pkwy Unit 110, South Jordan, UT 84009-5852 | |
| (801) 661-6052 | |
| Not Available |
| Full Name | Lisa Marie Hanson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 4538 W South Jordan Pkwy Unit 110, South Jordan, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003530429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 5984518-4405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Option Care Infusion Suites Llc | 5698179125 | 7 |
| Entity Name | Option Care Infusion Suites Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164194601 PECOS PAC ID: 5698179125 Enrollment ID: O20211122002842 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Hanson, NP 4538 W South Jordan Pkwy Unit 110, South Jordan, UT 84009-5852 Ph: (801) 661-6052 | Lisa Marie Hanson, NP 4538 W South Jordan Pkwy Unit 110, South Jordan, UT 84009-5852 Ph: (801) 661-6052 |
Dr. Charles Olin Canfield, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10437 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-877-0705 Fax: 801-335-5957 | |
Ryan C Jones, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11444 S Redwood Rd, South Jordan, UT 84095 Phone: 801-253-5900 | |
Dr. Joseph Barney Stanford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 | |
Dr. David Gareth Owen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 Fax: 801-585-3655 | |
Michelle L Palmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 W South Jordan Pkwy, Suite 102, South Jordan, UT 84095 Phone: 801-508-3111 Fax: 801-508-3105 | |
Annliza Lachica Piacitelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S, Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 |