Lacy Pack, is a
Licensed Psychiatric Technician based in Yuba City, California. Lacy Pack is licensed to practice in * (Not Available) (license number ) and her current practice location is
1965 Live Oak Blvd, Yuba City, California. She can be reached at her office (for appointments etc.) via phone at
(530) 822-7200.
NPI number for Lacy Pack is 1992244552 and her current mailing address is 1965 Live Oak Blvd, Yuba City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992244552.
Healthcare Provider's Profile
Full Name | Lacy Pack |
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Gender | Female |
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Speciality | Licensed Psychiatric Technician |
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Location | 1965 Live Oak Blvd, Yuba City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992244552
- Provider Enumeration Date: 02/15/2017
- Last Update Date: 03/11/2021
Medical Identifiers
Medical identifiers for Lacy Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992244552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
167G00000X | Licensed Psychiatric Technician | 41444 (California) | Secondary |
167G00000X | Licensed Psychiatric Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacy Pack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lacy Pack, 1965 Live Oak Blvd, Yuba City, CA 95991-8850 Ph: (530) 822-7200 | Lacy Pack, 1965 Live Oak Blvd, Yuba City, CA 95991-8850 Ph: (530) 822-7200 |
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