Individual
ERIC LINDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSUDC
Contact information
Practice address
745 E 300 S, SALT LAKE CITY, UT 84102-2256
(801) 428-1302
Mailing address
745 E 300 S, SALT LAKE CITY, UT 84102-2256
(801) 428-1302
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
8939964-6005
UT
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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