Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Zack, MD Inc

Organization Orthopaedic Surgery Physician · NPI 1205301397

Lacey Zack, MD Inc is an Orthopaedic Surgery Physician in Los Angeles, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1245 Wilshire Blvd Ste 607
Los Angeles, CA 90017-4806
Phone: (213) 338-1521
Fax: (213) 266-8183
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1205301397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lacey Zack — President · (213) 338-1521
NPI enumeratedOctober 4, 2018
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing address1245 Wilshire Blvd Ste 607, Los Angeles, CA 90017-4806

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