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

Lacey Paige Mallow, RN

Individual provider Registered Nurse · NPI 1821964248

Lacey Paige Mallow, RN is a Registered Nurse in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1933 Hornblend St Apt 18
San Diego, CA 92109-4593
Phone: (559) 869-9383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95437446 (CA)

Record details

NPI number1821964248
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

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