Laecie Laree Horn, Founder
Prevention Professional in Sandy, UT. Individual provider (NPI-1).
NPI number1962075655
StatusActive
Last updated in NPPESFeb 3, 2024
Details
- NPI
- 1962075655
- Entity type
- Individual (NPI-1)
- Name
- Laecie Laree Horn
- Credential
- Founder
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2021
- Certification date
- Feb 3, 2024
- Last updated
- Feb 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | 215419110216 | UT | Yes |
Practice location
11613 S Sunburn CirSandy, UT 84094-5523
Phone 801-674-6367
Mailing address
11613 S Sunburn CirSandy, UT 84094-5523
Phone 801-674-6367
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