Emerald Lacy, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Emerald Lacy is licensed to practice in California (license number ) and her current practice location is
481 N 1st St, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Emerald Lacy is 1790382091 and her current mailing address is 8945 Golf Links Rd, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790382091.
Healthcare Provider's Profile
| Full Name | Emerald Lacy |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 481 N 1st St, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790382091
- Provider Enumeration Date: 10/08/2020
- Last Update Date: 08/06/2025
Medical Identifiers
Medical identifiers for Emerald Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790382091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (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. Emerald 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 Address | Practice Location Address |
|---|
Emerald Lacy,
8945 Golf Links Rd,
Oakland, CA 94605-4124
Ph: (510) 317-1444 | Emerald Lacy,
481 N 1st St,
San Jose, CA 95112-4031
Ph: (510) 317-1444 |
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