Healthcare Provider Details

I. General information

NPI: 1427948173
Provider Name (Legal Business Name): PATRICIA EILEEN LACEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2025
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 BARTLETT PL
WALPOLE MA
02081-1926
US

IV. Provider business mailing address

12 BARTLETT PL
WALPOLE MA
02081-1926
US

V. Phone/Fax

Practice location:
  • Phone: 781-915-4932
  • Fax:
Mailing address:
  • Phone: 781-915-4932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN10047275
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: