National Provider Identifier
Lacey Rae Fox-Smith, PNP
Lacey Rae Fox-Smith, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Mendon, NY and a listed phone number of (585) 624-4520.
Profile Overview
- NPI
- 1023397775
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- August 12, 2011
- Last Updated
- August 24, 2022
Practice Location
- 30 Assembly Dr Ste 101
- Mendon, NY 14506-9608
Phone: (585) 624-4520
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1023397775
- Entity Type
- Individual
- Last Name
- Fox-Smith
- First Name
- Lacey
- Middle Name
- Rae
- Credential
- PNP
- Mailing Street Address
- 30 Assembly Dr Ste 101
- Mailing City
- Mendon
- Mailing State
- NY
- Mailing ZIP Code
- 14506-9608
- Mailing Country
- US
- Mailing Phone
- (585) 624-4520
- Practice Street Address
- 30 Assembly Dr Ste 101
- Practice City
- Mendon
- Practice State
- NY
- Practice ZIP Code
- 14506-9608
- Practice Country
- US
- Practice Phone
- (585) 624-4520
- Enumeration Date
- August 12, 2011
- Last Updated
- August 24, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X), Registered Nurse (163W00000X)