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

Dr. Nicole Lynn Lacz, MD

Individual provider Diagnostic Radiology Physician · NPI 1306052246

Dr. Nicole Lynn Lacz, MD is a Diagnostic Radiology in Nutley, New Jersey. Graduated from Rutgers New Jersey Medical School in 2004, 22 years ago. Practices with Ancillary Services of Practice Associates PA, a 99-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
22
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 High St
Nutley, NJ 07110-1132
Phone: (973) 879-3964
Fax: (973) 284-0269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 97 W Parkway, Pompton Plains, NJ 07444-1647 — (973) 831-5089

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA08793500 (NJ)

Record details

NPI number1306052246
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESNovember 14, 2023
Certification dateJanuary 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Ancillary Services Of Practice Associates Pa — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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