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Individual

LACEY KAY GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1355 W 3400 S, OGDEN, UT 84401-3376
(801) 387-6150
(801) 399-2572
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9139307-4405
UT

Other

Enumeration date
06/06/2024
Last updated
08/08/2024
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