Individual provider · Type 1 NPI
Lacey Paige Mallow, RN
Registered Nurse · San Diego, CA
Practice location
1933 Hornblend St Apt 18
San Diego, CA 92109-4593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 95437446 (CA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1821964248
Lacey Paige Mallow, RN's National Provider Identifier is 1821964248, issued on Oct 13, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 13, 2025.