MARY ALICE LACY


Address: Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118, San Diego, CA 92161-0001
Phone: 8586421085

MARY ALICE LACY (NPI# 1154379949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154379949
Entity Type Individual
Full Name MARY ALICE LACY
Credential MSN,FNP
Practice Address Va San Diego Healthcare System
3350 La Jolla Village Drive, Mc-118
San Diego
CA 92161-0001
Practice Telephone 8586421085
Practice Fax Number 8585524365
Mailing Telephone 8586421085
Mailing Fax Number 8585524365
Enumeration Date 2006-05-04
Last Update Date 2007-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
386793 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY LACY

NPI Name Taxonomy Address Enumeration
1598064040 Mary English Lacy Internal Medicine Int Med Hospital Medicine 2211 Lomas Ne, Acc 4th Floor, Albuquerque, NM 87131-0001 2011-03-23
1093701781 Mary E. Lacy Nurse Practitioner 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699 2005-09-27

Office Location

Street Address VA SAN DIEGO HEALTHCARE SYSTEM
3350 LA JOLLA VILLAGE DRIVE, MC-118
City SAN DIEGO
State CA
Zip Code 92161-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972012268 Jessica Lynne Lontayo Student in an Organized Health Care Education/Training Program Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0002 2017-09-29
1457705915 Victoria Lee Clark Dietitian, Registered Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 2016-04-20
1336458124 Tatiana Anastasia Chircop-rollick Psychologist Va San Diego Healthcare System, 3350 La Jolla Village Drive (116a), San Diego, CA 92161-0001 2010-09-28
1437464492 Megan Ann Paulk Audiologist Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 2010-08-15
1013231067 Kathleen Ann Mcchesney Psychologist Va San Diego Healthcare System, 3350 La Jolla Village Drive, (116b), San Diego, CA 92161-0001 2010-03-19
1508098815 Shannon Marie Matsko Pharmacist Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 2009-08-20
1891926515 Natalie Nicole Castriotta Psychologist Va San Diego Healthcare System, 33, San Diego, CA 92161-0001 2009-07-29
1346474848 Carl Stepnowsky Psychologist Va San Diego Healthcare System, 3350 La Jolla Village Drive (111n-1), San Diego, CA 92161-0001 2009-05-12
1245470871 Christie A. Cole Nurse Anesthetist, Certified Registered Va San Diego Healthcare System, (mc 125) 3350 La Jolla Village Drive, San Diego, CA 92161-0001 2009-02-23
1023255015 Ryan Scott Trim Psychologist Va San Diego Healthcare System, 3350 La Jolla Village Drive (116b), San Diego, CA 92161-0001 2009-01-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902315807 Laura Crocker Psychologist 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 2017-09-22
1568849545 Deborah Falch Internal Medicine Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 2015-04-29
1649566001 Alyan Ali Student in an Organized Health Care Education/Training Program 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 2011-06-23
1992840144 I-wei Shu Psychiatry & Neurology 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 2007-02-21
1639252216 R Shabetai General Acute Care Hospital Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 2006-10-24
1437233624 Lee Michael Williams Marriage & Family Therapist Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 2006-10-24
1295824340 Pamela Anne Broder Pharmacist San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 2006-10-12
1750484259 Michael Neil Oxman Internal Medicine Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 2006-09-07
1295847358 Patricia Ellen Fornes Physical Therapist Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 2006-08-31
1477667087 Kathryn Victoria Frederick Louv Nurse Practitioner 3350 La Jolla Village Dr., La Jolla, CA 92161 2006-08-19
Find all providers in zip 92161

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982203097 Rebecca Dolores Garcia Nurse Practitioner 2440 Curlew St, San Diego, CA 92101-1327 2020-10-20
1003415472 Ryanleo Flores Nurse Practitioner 2017 1st Avenue, Suite 301, San Diego, CA 92101 2020-10-18
1083226245 Allison Floyd Nurse Practitioner 3652 Texas St, San Diego, CA 92104-4044 2020-08-19
1386255248 Helen Hyeyoung Hong Nurse Practitioner 5140 Caminito Exquisito, San Diego, CA 92130-2852 2020-08-13
1134747595 Dawn Elyse Rose Nurse Practitioner 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 2020-07-10
1982232591 John Meier Nurse Practitioner 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 2020-03-30
1013543008 Alex Choi Mara Nurse Practitioner 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 2020-03-21
1669005021 Katlyn Ann Hartman Nurse Practitioner 1951 4th Ave, San Diego, CA 92101-2374 2020-02-13
1245876101 Katherine Baber Nurse Practitioner 3671 Fifth Ave, San Diego, CA 92103-4218 2019-11-25
1922644095 Taiko Harris Nurse Practitioner 13592 Bolero Way, San Diego, CA 92130-7006 2019-11-22
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Competitor

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City SAN DIEGO
Zip Code 92161

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Dataset Information

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.

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