MARY ALICE LACY MSNFNP NPI 1154379949

NPI Information

NPI: 1154379949
Provider Name: MARY ALICE LACY, MSN,FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
VA SAN DIEGO HEALTHCARE SYSTEM
3350 LA JOLLA VILLAGE DRIVE, MC-118
SAN DIEGO, CA
ZIP 92161
Phone: (858) 642-1085
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Mary Alice Lacy, MSN,FNP is a family nurse practitioner in San Diego, CA. Mary Alice Lacy, MSN,FNP NPI is 1154379949. 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:

VA SAN DIEGO HEALTHCARE SYSTEM
3350 LA JOLLA VILLAGE DRIVE, MC-118
SAN DIEGO, CA
ZIP 92161-001
Phone: (858) 642-1085
Fax: (858) 552-4365

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/12/2007.

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	363LF0000X	Nurse Practitioner	Family	386793	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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