Individual
LACEY BOEHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Contact information
Practice address
4359 S HIGHLAND DR, HOLLADAY, UT 84124-3539
(888) 755-7155
(801) 723-3115
Mailing address
941 W ZAFFRE HILLS LN, BLUFFDALE, UT 84065-2004
(385) 205-7010
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
11409200-3400
UT
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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