Lacey Zack, MD INC
Orthopaedic Surgery, Sports Medicine in Los Angeles, CA. Organization (NPI-2).
NPI number1205301397
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1205301397
- Entity type
- Organization (NPI-2)
- Legal business name
- Lacey Zack, MD INC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2018
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – |
Practice location
1245 Wilshire Blvd Ste 607Los Angeles, CA 90017-4806
Phone 213-338-1521 · Fax 213-266-8183
Mailing address
1245 Wilshire Blvd Ste 607Los Angeles, CA 90017-4806
Phone 213-338-1521 · Fax 213-266-8183
Authorized official
Lacey Zack
President
2133381521
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Sports Medicine (Orthopaedic Surgery) Physician providers in Los Angeles, CA
- Michael B. Banffy, MDNPI 1558497982
- Kevin William Collon, MDNPI 1588167415
- Jamie Erica Confino, MDNPI 1982167839
- Joseph Cooper, M.D.NPI 1518377241
- Jason Philip Aaron Hiro Corban, MD CMNPI 1063166700
- Tracey Crothers Didinger, M.D.NPI 1023428414
- Neal Selim Elattrache, MDNPI 1669457354
- Eric Millstein, M.D. INC.NPI 1770633273
- Ralph Anthony Gambardella, MDNPI 1205803087
- Seth C Gamradt, MDNPI 1366642753
All 50 Sports Medicine (Orthopaedic Surgery) Physician providers in Los Angeles · All 84,021 providers in Los Angeles
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.