LNR Enterprise, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

4866189-1205 Issued in UT

Legal business name

LNR ENTERPRISE, LLC

Practice address

1106 E Birchbrook Cir
Midvale, UT 84047-4132

Phone

(801) 891-9313

Fax

(801) 613-9420

NPI assigned

May 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Raymond Trudel, MD

Title

President

Phone

(801) 891-9313

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1073991410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E BIRCHBROOK CIR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474132",
            "telephone_number": "801-891-9313",
            "fax_number": "801-613-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E BIRCHBROOK CIR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474132",
            "telephone_number": "801-891-9313",
            "fax_number": "801-613-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LNR ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "TRUDEL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-891-9313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "UT",
            "license": "4866189-1205",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "UT",
            "license": "4866189-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daycie Little
• Marilyn Louise Little, APRN, PP
• Stacy Littlewood, MSW, LCSW
• Betty Yi Yi Liu, MD
• Layne Lloyd, MD
• Jandrely Lopez Morales, MD
• Scarleth Nohely Lozada, MSW
• Beverly Ann Lujan
• Brent Dee Lundberg, D.M.D.
• Danh Luu, PHARMD, MBA

• Medical Specialty Clinic/Center in Midvale, UT
• Providers in Midvale, UT by specialty
• Medical Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.