Carolyn Lacy

NPI 1285508481 · on the registry since 2025 · sole proprietor

Practice

Address: 42105 W Cheyenne Dr
Maricopa, AZ 85138
Phone: (602) 319-8130
Fax: (520) 568-2709
Organisation at this address: Shared Spaces Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 173000000X
173000000X
Also registered as: 171M00000X
247000000X
372600000X
3747P1801X
374U00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona