Mary Alice Lacy, MSN,FNP - Nurse Practitioner in San Diego, CA

Mary Alice Lacy, MSN,FNP is a Nurse Practitioner - Family based in San Diego, California. Mary Alice Lacy is licensed to practice in California (license number 386793) and her current practice location is Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (858) 642-1085.

NPI number for Mary Alice Lacy is 1154379949 and her current mailing address is Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154379949.

Contact Information

Mary Alice Lacy, MSN,FNP
Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118,
San Diego, CA 92161-0001
(858) 642-1085
(858) 552-4365

Map and Direction




Provider's Profile

Full NameMary Alice Lacy
GenderFemale
SpecialityNurse Practitioner - Family
LocationVa San Diego Healthcare System, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154379949
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 07/12/2007

Medical Identifiers

Medical identifiers for Mary Alice Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154379949NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 386793 (California)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. Mary Alice Lacy 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 AddressPractice Location Address
Mary Alice Lacy, MSN,FNP
Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118,
San Diego, CA 92161-0001

Ph: (858) 642-1085
Mary Alice Lacy, MSN,FNP
Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118,
San Diego, CA 92161-0001

Ph: (858) 642-1085

Reviews and Comments


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