Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY RAE FOX-SMITH, PNP
ActiveLACEY RAE FOX-SMITH, PNP is a Pediatric Nurse Practitioner healthcare provider located in MENDON, New York. NPI 1023397775 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MENDON, NY
Registration Details
- NPI Number
- 1023397775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2011 (14.984445385883 yrs)
- Last Updated
- Aug 24, 2022
- Licenses
-
630457 (NY)382380 (NY)
Practice Information
- Address
-
30 ASSEMBLY DR STE 101MENDON, NY, 145069608Browse NY providers · Browse ZIP 14506
- Phone
- 5856244520
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.