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
Fax: (925) 937-0630
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295717411 NPPES
California Other P01474765 RAILROAD MEDICARE

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