Johnson, Lacy Mae

Johnson, Lacy Mae is an individual health care provider with primary practice located at 1190 E 5425 S Ste 210 , South Ogden UT 84403-5194. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Johnson, Lacy Mae can be contacted via phone (385) 400-9193.

Contact Information

Primary practice address
1190 E 5425 S Ste 210 South Ogden UT 84403-5194
Phone: (385) 400-9193
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 9199023-4701 Utah

Profile Details

NPI number 1902574999
LBN Legal business name Johnson, Lacy Mae
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2021
Last updated Sep 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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