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

Individual provider Athletic Trainer · NPI 1194262386

Lacie Phan is an Athletic Trainer in Martinez, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

4512 Actriz Pl
Martinez, CA 94553-1459
Phone: (909) 244-7891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence BOC194700 (CA)

Record details

NPI number1194262386
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESJanuary 25, 2017

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