Individual
LACEY BENNETT CELANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3272 E RIO VIRGIN RD, LITTLEFIELD, AZ 86432-3200
(928) 347-5971
(928) 347-5793
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5251058-4405
UT
Other
Enumeration date
05/27/2016
Last updated
01/24/2018
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