Organization
LUCINDA BATEMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA BATEMAN MD (OWNER)
(801) 359-7400
Entity
Organization
Contact information
Practice address
1002 E SOUTH TEMPLE STE 408, SALT LAKE CITY, UT 84102-1571
(801) 359-7400
(801) 359-7404
Mailing address
1002 E SOUTH TEMPLE STE 408, SALT LAKE CITY, UT 84102-1571
(801) 359-7400
(801) 359-7404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
178153 1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0491073
UNITED HEALTHCARE
UT
05
—
528929987015
—
UT
Enumeration date
01/05/2010
Last updated
11/13/2013
Update your record
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