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

Carlynn Alexandra Lackey

Individual provider Rehabilitation Practitioner · NPI 1205494515

Carlynn Alexandra Lackey is a Rehabilitation Practitioner in San Francisco, California. Works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

711 Taraval St
San Francisco, CA 94116-2516
Phone: (415) 861-0828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 368 Fell St, San Francisco, CA 94102-5144 — (415) 861-0828
  • 77 Cortland Ave, San Francisco, CA 94110-5435 — (415) 861-0828

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1205494515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2019
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

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