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

Kacie Lackey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205793767

Kacie Lackey is a Student in an Organized Health Care Education/Training Program in Gardena, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

879 W 190th St Ste 350
Gardena, CA 90248-4262
Phone: (310) 323-6887
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205793767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address879 W 190th St Ste 350, Gardena, CA 90248-4262

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