Individual provider · Type 1 NPI

Lisa Ann Runyon, CPNP

Pediatric Nurse Practitioner · Salt Lake City, UT

NPI number 1003091430 Active

Practice location

100 N Medical Dr, Trauma Services
Salt Lake City, UT 84113-1103

Fax (801) 662-2999

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X216679-4405 (UT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003091430

Lisa Ann Runyon, CPNP's National Provider Identifier is 1003091430, issued on Jan 3, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 3, 2008.