Doctor Name: | MISS ABBET L ELISON |
NPI Number: | 1144551417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 6964225-4701 |
Business Practice Address: | 643 W 700 N Suite C Lindon, UT - 840421361 |
Business Phone Number: | 8017960322 |
Business Fax Number: | |
Mailing Address: | 717 W 1650 N, OREM |
State: | UT |
Postal Code: | 840572581 |
Phone Number: | 8017225176 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2010 |
NPI Last Update Date: | 01/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6964225-4701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |