| Lifestar | |
|
151 E 5600 S Ste 204 Murray UT 84107-8146 | |
| (801) 262-2400 | |
| Not Available |
| Full Name | Lifestar |
|---|---|
| Speciality | Counselor - Professional |
| Location | 151 E 5600 S Ste 204, Murray, Utah |
| Authorized Official Name and Position | Todd Olson (PARTNER) |
| Authorized Official Contact | 8012627409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestar 151 E 5600 S Ste 204 Murray UT 84107-8146 Ph: (801) 262-2400 | Lifestar 151 E 5600 S Ste 204 Murray UT 84107-8146 Ph: (801) 262-2400 |
| NPI Number | 1902044472 |
|---|---|
| Provider Enumeration Date | 01/21/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902044472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Utah) | Primary |
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