Individual
LACEY MAE LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
308 E 4500 S STE 100, MURRAY, UT 84107-4057
(385) 533-8898
Mailing address
783 W STEPHENS VIEW WAY, DRAPER, UT 84020-8421
(714) 595-2008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14215824-1206
UT
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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