Individual provider · Type 1 NPI

Emerald Lacy

Rehabilitation Practitioner · San Jose, CA

NPI number 1790382091 Active

Practice location

481 N 1st St
San Jose, CA 95112-4031

Call (510) 317-1444 Map

Mailing address

485 N 1st St
San Jose, CA 95112-4041

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1790382091

Emerald Lacy's National Provider Identifier is 1790382091, issued on Oct 8, 2020. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jun 8, 2026.