Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN RENEE LACY
Active Sole ProprietorCAROLYN RENEE LACY is a Legal Medicine healthcare provider located in MARICOPA, Arizona. NPI 1285508481 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · MARICOPA, AZ
Registration Details
- NPI Number
- 1285508481
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2025 (0.68590681763676 yrs)
- Last Updated
- Oct 1, 2025
- Licenses
-
19802903 (AZ)19662609 (AZ)19591027 (AZ)19623108 (AZ)19572204 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
42105 W CHEYENNE DRMARICOPA, AZ, 851383356Browse AZ providers · Browse ZIP 85138
- Phone
- 6023198130
- Fax
- 5205682709
- Primary Specialty
-
Legal Medicine
173000000X
- Additional Specialty
- Health Information Specialist
- Additional Specialty
- Adult Companion
- Additional Specialty
- Foot & Ankle Surgery
- Additional Specialty
- Home Health Aide
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.