Lacy Lisbon, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

708 Issued in CA

Practice address

2658 E Alluvial Ave Apt 118
Fresno, CA 93720-9111

Phone

(559) 905-5933

NPI assigned

May 12, 2023

Last updated

Jan 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1710677638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 E ALLUVIAL AVE APT 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937209111",
            "telephone_number": "559-905-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 E ALLUVIAL AVE APT 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937209111",
            "telephone_number": "559-905-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISBON",
        "first_name": "LACY",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "708",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Liou, O.D.
• Kara Kathryn Lipps, MSW
• Megan Lira
• Lynn Lirette, LCSW
• Lisa Criswell, Licensed Clinical Social Worker
• Ignasio Liscano III
• Elis Lising, RN
• Lit Sober Living and Transformation Center LLC
• Cecil Kimutai Litiema, NP-C
• Yumi Jessica Litke

• Midwife in Fresno, CA
• Providers in Fresno, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; 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.