Individual provider · Type 1 NPI
Lacey A. Cooper, NP-C
Adult Health Nurse Practitioner · Salt Lake City, UT
NPI number
1639796477
Active
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
797 Welles Cannon Rd
Grantsville, UT 84029-5563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 9043708-4409 (UT) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1639796477
Lacey A. Cooper, NP-C's National Provider Identifier is 1639796477, issued on Jun 27, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 12, 2021.