Conley Gerard Lacey, M.D.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

GFE28142 Issued in CA

Practice address

1935 Stonebrook LN
Clovis, CA 93611-5985

Phone

(559) 321-8709

NPI assigned

Mar 11, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1669713012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 STONEBROOK LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115985",
            "telephone_number": "559-321-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 STONEBROOK LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115985",
            "telephone_number": "559-321-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "CONLEY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "GFE28142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manon Kwon, MD
• Kyjo Enterprises, Inc.
• Tamara L Labbe, M.S., CCC/SLP
• Laurellye Labrecque
• Courtney Lacefield
• Elizabeth K Lacrue, D.P.T
• Alexander Lacson, CMT
• Yan Ma Lacson, CMT
• Daniel Thomas Ladeairous, D.C.
• Subhashini J Ladella, MD

• Gynecologic Oncology Physician in Clovis, CA
• Providers in Clovis, CA by specialty
• Gynecologic Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.