Individual provider · Type 1 NPI

Carolyn Smith Lacey, MD

Cardiovascular Disease Physician · Walnut Creek, CA

NPI number 1295717411 Active

Practice location

1450 Treat Blvd, Suite 220B
Walnut Creek, CA 94597-2168

Fax (925) 937-0630

Mailing address

Dept 34929, P.o. Box 39000
San Francisco, CA 94139-0001

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X0101238189 (VA)
Cardiovascular Disease Physician Primary 207RC0000XC131968 (CA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1295717411

Carolyn Smith Lacey, MD's National Provider Identifier is 1295717411, issued on Nov 15, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Walnut Creek, CA. The record was last updated on Aug 11, 2015.