Lacey Ariel Alvarez, RN
Individual provider Active NPI Registered Nurse · Molalla, OR
NPI 1013685437 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1013685437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 201509008RN (OR)
- Practice address
- 1860 Toliver Rd
Molalla, OR 97038-7395 - Phone
- (971) 222-9422
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201509008RN | OR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201509008RN | OR | Yes |
Addresses
Primary practice location
1860 Toliver Rd
Molalla, OR 97038-7395
Mailing address
1860 Toliver Rd
Molalla, OR 97038-7395
Phone (971) 222-9422
Other names
- Lacey Ariel Lund
Other providers in Molalla, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.