Lacey, Carolyn Smith
Lacey, Carolyn Smith is an individual health care provider with primary practice located at 1450 Treat Blvd Suite 220B, Walnut Creek CA 94597-2168. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Lacey, Carolyn Smith can be contacted via phone (925) 937-1770.Contact Information
Primary practice address
1450 Treat Blvd Suite 220B
Walnut Creek CA 94597-2168
Phone: (925) 937-1770
Fax: (925) 937-0630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101238189 | Virginia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C131968 | California |
Profile Details
| NPI number | 1295717411 |
|---|---|
| LBN Legal business name | Lacey, Carolyn Smith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Aug 11th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295717411 | NPPES |
| California | Other | P01474765 | RAILROAD MEDICARE |
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