Lacie Phan
Athletic Trainer · Martinez, CA
Practice location
4512 Actriz PlMartinez, CA 94553-1459
- Phone
- (909) 244-7891
NPI record
- NPI
- 1194262386
- Entity type
- Individual (Type 1)
- Enumeration date
- January 25, 2017
- Last updated
- January 25, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
BOC194700 | CA |
About Lacie Phan
Lacie Phan is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4512 Actriz Pl, Martinez, CA 94553-1459. The NPI number 1194262386 was assigned on January 25, 2017 and the record was last updated on January 25, 2017.
Lacie Phan lists a license in the registry: #BOC194700 (CA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Lacie Phan?
The NPI number is 1194262386.
What is the phone number of Lacie Phan?
The phone number listed for the practice location is (909) 244-7891.
Where is Lacie Phan located?
4512 Actriz Pl, Martinez, CA 94553-1459.
What is the taxonomy code for Lacie Phan?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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