Individual
EDWIN H. LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N MARIO CAPECCHI DR, RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECCHI DR, RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14245015-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
31764
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
72164
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31764
RESIDENCY PERMIT
MN
Enumeration date
07/26/2021
Last updated
10/14/2025
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