SearchUtah172V00000X

Lauren Booth

NPI 1184126740 · on the registry since 2018 · sole proprietor

Practice

Address
862 S Main St Ste 4
Brigham City, UT 84302
Phone
(435) 753-6245
Organisation at this address
Youth Track
Youthtrack, Inc.
Rite Of Passage, Inc
Life-Skills And Individual Needs Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
209

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah