NPI 1962075655

Laecie Laree Horn, FOUNDER

Practitioner Prevention Professional Sandy, UT

Practice location

Address: 11613 S Sunburn Cir, Sandy, UT 84094-5523
Phone: (801) 674-6367

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 215419110216 (UT)

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Registry record

NPI: 1962075655
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2021
Record last updated: 3 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.