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

Lacey Mora

Individual provider Specialist · NPI 1710307210

Lacey Mora is a Specialist in Ronkonkoma, New York. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

90 Air Park Dr
Ronkonkoma, NY 11779-7360
Phone: (631) 471-1954
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1710307210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2014
Last updated in NPPESApril 23, 2014

Other providers in Ronkonkoma