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Contact Information

LISA DITLEV ASTE, MD
1300 E CENTER ST
PROVO, UT84606-3554
 Phone: 801-344-4411
 Fax: 801-344-4225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for LISA DITLEV ASTE · (Female)

NPI # 1225205941
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2008
Last updated 05/23/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 180143 1205
  • UT License # 1801431205
  • UT Medicaid 09606
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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