Lacy E Taylor, is a
Peer Specialist based in Pasadena, California. Lacy E Taylor is licensed to practice in California (license number MPSS-MFDNCX) and her current practice location is
1230 N Marengo Ave, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 797-1124.
NPI number for Lacy E Taylor is 1821879818 and her current mailing address is 1230 N Marengo Ave, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821879818.
Healthcare Provider's Profile
| Full Name | Lacy E Taylor |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1230 N Marengo Ave, Pasadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821879818
- Provider Enumeration Date: 10/06/2023
- Last Update Date: 12/19/2024
Medical Identifiers
Medical identifiers for Lacy E Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821879818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1541490124 (California) | Secondary |
| 175T00000X | Peer Specialist | MPSS-MFDNCX (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. Lacy E Taylor 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 E Taylor, 1230 N Marengo Ave, Pasadena, CA 91103-2217 Ph: (626) 797-1124 | Lacy E Taylor, 1230 N Marengo Ave, Pasadena, CA 91103-2217 Ph: (626) 797-1124 |
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