Active NPIIndividual provider

Dr. Nicole L Lacz, MD

Radiology, Diagnostic Radiology in Nutley, New Jersey

NPI Number1306052246
Practice location
20 High St, Nutley, NJ 07110-1132
Fax
973-284-0269
Last updated
November 14, 2023

Nicole Lynn Lacz is a Radiology, Diagnostic Radiology based in Nutley, NJ. Nicole Lynn Lacz practices in Nutley, NJ and has the professional credentials of MD. The NPI Number for Nicole Lynn Lacz is 1306052246 and holds a License No. 25MA08793500 (NJ). The current practice location address for Nicole Lynn Lacz is 20 High St, Nutley, NJ 07110-1132 and can be reached out via phone at 973-879-3964 and via fax at 973-284-0269.

Provider Profile Details

NPI Number
1306052246
Provider Name
Nicole Lynn Lacz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20 High St, Nutley, NJ 07110-1132
Phone Number
973-879-3964
Fax Number
973-284-0269
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2007
Last Update Date
November 14, 2023
Certification Date
January 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 High St
Nutley, NJ 07110-1132
City
Nutley
Zip
07110-1132
Phone Number
973-879-3964
Fax Number
973-284-0269
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
777 Passaic Ave
Ste 360
Clifton, NJ 07012-1800
City
Clifton
State
NJ
Zip
07012-1800
Phone Number
973-284-0020
Fax Number
973-284-6310

License Information

License Number
25MA08793500
License State
NJ
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicole L Lacz, MD?

The NPI number of Dr. Nicole L Lacz, MD is 1306052246. It was assigned on May 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole L Lacz, MD?

Dr. Nicole L Lacz, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25MA08793500.

Where does Dr. Nicole L Lacz, MD practice?

The practice location is 20 High St, Nutley, NJ 07110-1132. The office can be reached at 973-879-3964 (phone) or 973-284-0269 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306052246 directly on the NPPES registry website.

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