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

MS. Lacey Lee Nickerson, MS, CCP

Individual provider Other Specialist/Technologist · NPI 1083738363

MS. Lacey Lee Nickerson, MS, CCP is an Other Specialist/Technologist in Encino, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

16970 Strawberry Dr
Encino, CA 91436-3857
Phone: (310) 210-0974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1083738363
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCP
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Encino