Individual
LACEE BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 SFH, PROVO, UT 84602-2246
(801) 422-2096
Mailing address
528 N 700 E, PROVO, UT 84606-1919
(775) 962-2498
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
UT
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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