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

Lacey Zack, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124315916

Lacey Zack, MD is an Orthopedic Surgery in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2009, 17 years ago. Practices with Lacey Zack MD Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2011
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

1245 Wilshire Blvd Ste 607
Los Angeles, CA 90017-4806
Phone: (213) 338-1521
Fax: (213) 266-8183
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A116342 (CA)

Record details

NPI number1124315916
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2011
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Lacey Zack Md Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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