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

Lacie Phan

Individual provider Athletic Trainer · NPI 1194262386

Lacie Phan is an Athletic Trainer in Martinez, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

4512 Actriz Pl
Martinez, CA 94553-1459
Phone: (909) 244-7891
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence BOC194700 (CA)

Record details

NPI number1194262386
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESJanuary 25, 2017
Mailing address4512 Actriz Pl, Martinez, CA 94553-1459

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