NPI 1043769367

Jessica Lacy, PAC

Practitioner Medical Physician Assistant Carlsbad, CA

Practice location

Address: 2176 Salk Ave, Carlsbad, CA 92008
Phone: (760) 901-5100
Mailing address: 10790 Rancho Bernardo Rd # 4s-205, San Diego, CA 92127-5705

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 53816 (CA)

Other Physician Assistant providers in California →

Registry record

NPI: 1043769367
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2016
Record last updated: 20 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.