LACEY FULCHER NP-C
NPI 1588415863
Nurse Practitioner - Family in San Diego, CA

Q: What is Lacey Fulcher's NPI number?

The NPI number for Lacey Fulcher is 1588415863. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Lacey Fulcher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Fulcher was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 27, 2024

4510 EXECUTIVE DR STE 103, SAN DIEGO, CA 92121(858) 677-9352 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lacey Fulcher Np-c NPPES

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

LACEY FULCHER NP-C (NPI 1588415863) is an individual family provider in San Diego, California, licensed in California (95028425) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1588415863

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLACEY FULCHERCredential: NP-C

Location Address4510 EXECUTIVE DR STE 103San Diego, CA 92121-3022

Mailing Address1835 Jamaica WayVista, CA 92081-7000 · (760) 224-6421

Phone(858) 677-9352

Sole ProprietorYes

Enumeration DateMarch 27, 2024

NPPES CertifiedMarch 27, 2024

✔ NPI 1588415863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95028425

4510 EXECUTIVE DR STE 103, San Diego, CA 92121

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

REX L RHOTEN M.D.

Neurological Surgery

4510 EXECUTIVE DR STE 103
SAN DIEGO, CA 92121

San Diego County (858) 677-9352

CHERYL CHUONG

Nurse Practitioner

4510 EXECUTIVE DR STE 103
SAN DIEGO, CA 92121

San Diego County (858) 699-0707

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 Fulcher's NPI number?

The NPI number for Lacey Fulcher is 1588415863. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Lacey Fulcher located?

Lacey Fulcher practices at 4510 Executive Dr Ste 103, San Diego, CA 92121. The listed phone number is (858) 677-9352.

What is Lacey Fulcher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lacey Fulcher was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.