Individual provider · Type 1 NPI

Carolyn Smith Lacy, CRNP

Pediatric Nurse Practitioner · Birmingham, AL

NPI number 1043618879 Active

Practice location

1600 7th Ave S
Birmingham, AL 35233-1711

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	1143114 (AL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1043618879

Carolyn Smith Lacy, CRNP's National Provider Identifier is 1043618879, issued on Dec 10, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Birmingham, AL. The record was last updated on Jan 22, 2025.