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Contact Information

CAROLYN R LACY
42105 W CHEYENNE DR
MARICOPA, AZ85138-3356
 Phone: 602-319-8130
 Fax: 520-568-2709
 Website:
Indicates primary specialty

NPI Profile & details for CAROLYN R LACY · (Female)

NPI # 1285508481
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2025
Last updated 10/01/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 19572204
  • AZ License # 19591027
  • AZ License # 19623108
  • AZ License # 19662609
  • AZ License # 19751503
  • AZ License # 19802903
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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