LACEY RAE FOX-SMITH PNP NPI 1023397775

NPI Information

NPI: 1023397775
Provider Name: LACEY RAE FOX-SMITH, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
30 ASSEMBLY DR STE 101
MENDON, NY
ZIP 14506
Phone: (585) 624-4520
Get Directions

Lacey Rae Fox-smith, PNP is a pediatrics nurse practitioner in Mendon, NY. Lacey Rae Fox-smith, PNP NPI is 1023397775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 ASSEMBLY DR STE 101
MENDON, NY
ZIP 14506-608
Phone: (585) 624-4520

The enumeration date for this NPI number is 8/12/2011 and was last updated on 8/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		630457	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	382380	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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