Lifestar | |
151 E 5600 S Ste 204 Murray UT 84107-8146 | |
(801) 262-2400 | |
Not Available |
Full Name | Lifestar |
---|---|
Speciality | Counselor - Professional |
Location | 151 E 5600 S Ste 204, Murray, Utah |
Authorized Official Name and Position | Todd Olson (PARTNER) |
Authorized Official Contact | 8012627409 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifestar 151 E 5600 S Ste 204 Murray UT 84107-8146 Ph: (801) 262-2400 | Lifestar 151 E 5600 S Ste 204 Murray UT 84107-8146 Ph: (801) 262-2400 |
NPI Number | 1902044472 |
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Provider Enumeration Date | 01/21/2009 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902044472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Utah) | Primary |
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