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Search › California › 101YA0400X

Shacola Lacy, SUDCC #11319

NPI 1023554896 · on the registry since 2017

Practice

Address
1925 E Dakota Ave
Fresno, CA 93726
Phone
(559) 600-6068
Fax
(559) 600-6090
Organisation at this address
Jason Stutzman
County Of Fresno
County Of Fresno
County Of Fresno
Fresno Community Hospital And Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
130

Additional practice sites

  • 4441 E Kings Canyon Rd, Fresno, CA
  • 4452 E Kings Canyon Rd, Fresno, CA
  • 2719 N Air Fresno Dr, Fresno, CA

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2026-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California