Individual provider · Type 1 NPI

Lisa Nicole Anderson, MD

Surgery Physician · Provo, UT

NPI number 1992226021 Active

Practice location

1055 N 300 W Ste 101
Provo, UT 84604-3381

Fax (801) 852-3459

Mailing address

3550 N University Ave Ste 250
Provo, UT 84604-6695

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X14242949-1205 (UT)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1992226021

Lisa Nicole Anderson, MD's National Provider Identifier is 1992226021, issued on Jun 28, 2017. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Provo, UT. The record was last updated on Sep 17, 2026.