Organization
LIFETREE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN WEBSTER M.D. (PRESIDENT)
(801) 261-4988
Entity
Organization
Contact information
Practice address
3838 S 700 E, SUITE 200, SALT LAKE CITY, UT 84106-1466
(801) 261-4988
(801) 269-9427
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
008727
UT
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
008727
UT
208VP0000X
Pain Medicine Physician
Primary
008727
UT
Other
Enumeration date
07/26/2005
Last updated
05/05/2008
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