Organization
LNR ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RAYMOND TRUDEL MD (PRESIDENT)
(801) 891-9313
Entity
Organization
Contact information
Practice address
1106 E BIRCHBROOK CIR, MIDVALE, UT 84047-4132
(801) 891-9313
(801) 613-9420
Mailing address
1106 E BIRCHBROOK CIR, MIDVALE, UT 84047-4132
(801) 891-9313
(801) 613-9420
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
4866189-1205
UT
261QM2500X
Medical Specialty Clinic/Center
Primary
4866189-1205
UT
Other
Enumeration date
05/18/2015
Last updated
10/28/2020
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