Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LACEY LEE NICKERSON, MS, CCP
Active Sole ProprietorMS. LACEY LEE NICKERSON, MS, CCP is a Specialist/Technologist, Surgical healthcare provider located in ENCINO, California. NPI 1083738363 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · ENCINO, CA
Registration Details
- NPI Number
- 1083738363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2007 (19.448021064623 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
16970 STRAWBERRY DRENCINO, CA, 914363857Browse CA providers · Browse ZIP 91436
- Phone
- 3102100974
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Other Specialist/Technologist, Surgical Providers in ENCINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ELHAM NEMAT | D.C. | 1124062401 |
| ILONA V MALYGIN | — | 1841058757 |
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.