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MS. LACEY LEE NICKERSON MS, CCP
NPI 1083738363
Specialist/Technologist, Other in Encino, CA

Active since March 19, 2007
16970 STRAWBERRY DR, ENCINO, CA 91436(310) 210-0974 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Lacey Lee Nickerson Ms, Ccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LACEY LEE NICKERSON MS, CCP (NPI 1083738363) is an individual specialist/technologist, other provider in Encino, California and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1083738363
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameMS. LACEY LEE NICKERSONCredential: MS, CCP
Location Address16970 STRAWBERRY DREncino, CA 91436-3857
Mailing Address16970 Strawberry DrEncino, CA 91436-3857 · (310) 210-0974
Phone(310) 210-0974
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083738363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
16970 STRAWBERRY DR, Encino, CA 91436
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Nickerson's NPI number?

The NPI number for Lacey Nickerson is 1083738363. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Lacey Nickerson located?

Lacey Nickerson practices at 16970 Strawberry Dr, Encino, CA 91436. The listed phone number is (310) 210-0974.

What is Lacey Nickerson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Lacey Nickerson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.