Individual
LACEY PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
77 S. 600 E., PRICE, UT 84501
(435) 637-4246
(435) 637-6465
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9431190-3102
UT
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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