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

Lacey Douglas

Individual provider Registered Nurse · NPI 1972048791

Lacey Douglas is a Registered Nurse in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

110 W 97th St
New York, NY 10025-6450
Phone: (212) 748-1820
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 723183 (NY)

Record details

NPI number1972048791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2017
Last updated in NPPESJanuary 3, 2017

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