Search › California › 1041C0700X
Lacey Gibson
NPI 1619479581 · on the registry since 2018
Practice
- Address
- 102 E Branch St Ste G
Arroyo Grande, CA 93420 - Phone
- (805) 936-0374
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 224Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-10
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