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Bernita Lacy

NPI 1801127584 · on the registry since 2010 · sole proprietor

Practice

Address
474 W Vernont Avenue
Escondido, CA 92025
Phone
(760) 432-9884

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-01-20

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