LACEY A COOPER

SALT LAKE CITY, UT
NPI1639796477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: UT  9043708-4409)
Enumeration Date2020-06-27
Last Update Date2021-11-12
Business Address
LACEY A COOPER NP-C
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 702-281-8904
Mailing Address
LACEY A COOPER NP-C
797 WELLES CANNON RD
GRANTSVILLE, UT 84029-5563
Phone number: 702-281-8904
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