Jessica Lacy, PA-C
Physician Assistant, Medical in Carlsbad, CA. Individual provider (NPI-1).
NPI number1043769367
StatusActive
Last updated in NPPESJul 20, 2018
Details
- NPI
- 1043769367
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lacy
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2016
- Last updated
- Jul 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 53816 | CA | Yes |
Practice location
2176 Salk AveCarlsbad, CA 92008
Phone 760-901-5100
Mailing address
10790 Rancho Bernardo Rd # 4s-205San Diego, CA 92127-5705
Phone 760-901-5100
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