IndividualActive
Carolyn Lacy
NPI 1285508481 · Legal Medicine · Maricopa, AZ
Provider details
- NPI number
- 1285508481
- Entity type
- Individual
- Primary specialty
- Legal MedicineOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19802903 (AZ)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Technologists, Technicians & Other Technical Service Providers
Nursing Service Related Providers
Nursing Service Related Providers
Nursing Service Related Providers
Practice location
42105 W Cheyenne Dr
Maricopa, AZ 85138-3356
Phone: (602) 319-8130
Fax: (520) 568-2709
Approximate (ZIP-level) locationGet directions
Mailing address
42105 W Cheyenne Dr
Maricopa, AZ 85138-3356
Registry dates
- Enumerated
- 2025-10-01
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.