DONALD JAMES LACY (NPI# 1104838390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104838390 |
| Entity Type | Individual |
| Full Name | DONALD JAMES LACY |
| Credential | D.O. |
| Practice Address |
3917 West Rd Ste A Los Alamos NM 87544-2292 |
| Practice Telephone | 5056618900 |
| Practice Fax Number | 5056618916 |
| Mailing Telephone | 5056618900 |
| Mailing Fax Number | 5056618916 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2018-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A700 | NM | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | A-700-79 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
3917 WEST RD STE A |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528073384 | Heather Ellen Marancenbaum | Family Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2006-07-30 |
| 1588217749 | Pema L Tamang | Family Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2019-07-17 |
| 1619449766 | Jordan A Lichthardt | Dietitian, Registered | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2018-12-28 |
| 1760964506 | Leigh Barham | Family Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544 | 2018-08-29 |
| 1124512207 | Michelle Certik | Physician Assistant | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2018-06-21 |
| 1457881625 | Sara E Mcevers | Nurse Practitioner | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2017-06-19 |
| 1750720306 | Elena Soliz Mcatee | Family Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2013-06-17 |
| 1487962031 | Linda Taylor | Physician Assistant | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2010-09-16 |
| 1811025703 | Theresa Ann Bubenzer | Registered Nurse | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2007-03-01 |
| 1861540437 | Ann K Ferris | Internal Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544-2275 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616679 | Gemma Cristina Zapater | General Practice | 923 Calle Fuerte Ne, Albuquerque, NM 87113-2373 | 2020-10-15 |
| 1710596036 | Provider Cares Network LLC | General Practice | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, NM 87111-3876 | 2020-07-23 |
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1538714381 | Uyama A Fernandez | General Practice | 400 Gold Ave Sw Ste 220, Albuquerque, NM 87102-3278 | 2019-08-08 |
| 1386180909 | Lisselle Marie Villarrubia Ocasio | General Practice | Msc10 6000 1 University of New Mexico, Albuquerque, NM 87131-5505 | 2017-01-07 |
| 1225586969 | Joan Goldsworthy | General Practice | Unm School of Medicine Msc09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-12 |
| 1033568902 | Karen Griest | General Practice | 68 Pinon Trl, Cedar Crest, NM 87008-9444 | 2016-06-10 |
| 1447610886 | Sean T Mcgee | General Practice | Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2016-02-27 |
| 1275901266 | Lynn Schrader Sweeney | General Practice | 701 Kerney Dr, Farmington, NM 87401-3660 | 2015-09-08 |
| 1942608708 | Marathon Health, Inc. | General Practice | 2208 W Main St, C/o Concho Employee Health Center, Artesia, NM 88210-3720 | 2014-12-10 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.