RACHEL LACKOW

SALT LAKE CITY, UT
NPI1396515342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  11932179-4405)
Enumeration Date2024-01-02
Last Update Date2024-01-02
Business Address
RACHEL LACKOW
425 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115-2362
Phone number: 801-468-6807
Mailing Address
RACHEL LACKOW
1192 E DRAPER PKWY
DRAPER, UT 84020-9356
Phone number: