COURTNEY ERIN LACY PA-S - NPI 1295662393 - Physician Assistant in Fort Myers, FL

Q: What is Courtney Lacy's NPI number?

The NPI number for Courtney Lacy is 1295662393. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Q: What is Courtney Lacy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Lacy was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

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About Courtney Erin Lacy Pa-s NPPES

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

COURTNEY ERIN LACY PA-S (NPI 1295662393) is an individual physician assistant in Fort Myers, Florida and active in the NPI registry since May 2026. She maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1295662393

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCOURTNEY ERIN LACYCredential: PA-S

Location Address9981 S HEALTHPARK DRFort Myers, FL 33908-3618

Mailing Address2480 First St Apt 368Fort Myers, FL 33901-3056 · (317) 750-8455

Phone(239) 342-5000

Sole ProprietorNo

Enumeration DateMay 5, 2026

Last NPPES UpdateJune 1, 20262 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1295662393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9981 S HEALTHPARK DR, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 113681 Doctors WayFort Myers, FL 33912-4300 · Phone (239) 343-1000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SREEDHAR GELLI M.D.

Hospitalist