Individual provider · Type 1 NPI

Lacey Rae Fox-Smith, PNP

Pediatric Nurse Practitioner · Mendon, NY

NPI number 1023397775 Active

Practice location

30 Assembly Dr Ste 101
Mendon, NY 14506-9608

Call (585) 624-4520 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X630457 (NY)
Pediatric Nurse Practitioner Primary 363LP0200X382380 (NY)

Pediatric Nurse Practitioner: Definition to come...

About NPI 1023397775

Lacey Rae Fox-Smith, PNP's National Provider Identifier is 1023397775, issued on Aug 12, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mendon, NY. The record was last updated on Aug 24, 2022.