IndividualActive
Lisa Samson-Fang, MD
NPI 1821188442 · Developmental - Behavioral Pediatrics Physician · Salt Lake City, UT
Provider details
- NPI number
- 1821188442
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 360059-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-3501
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 581100
Salt Lake City, UT 84158-1100
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.