Individual
LAUREN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
(435) 753-6245
Mailing address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
UT
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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