Search › California › 163W00000X
Lacey Mallow, RN
NPI 1821964248 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1933 Hornblend St Apt 18
San Diego, CA 92109 - Phone
- (559) 869-9383
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-13
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 California