Individual provider · Type 1 NPI

Jessica Lacy, PA-C

Medical Physician Assistant · Carlsbad, CA

NPI number 1043769367 Active

Practice location

2176 Salk Ave
Carlsbad, CA 92008

Mailing address

10790 Rancho Bernardo Rd # 4S-205
San Diego, CA 92127-5705

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X53816 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1043769367

Jessica Lacy, PA-C's National Provider Identifier is 1043769367, issued on Sep 27, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Carlsbad, CA. The record was last updated on Jul 20, 2018.