Healthcare Provider Details

I. General information

NPI: 1922929124
Provider Name (Legal Business Name): LAUREN LACEY CHRISTIAN CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 LONGLEY LN
RENO NV
89511-2632
US

IV. Provider business mailing address

5915 BLUE HORIZON CT
RENO NV
89523-2503
US

V. Phone/Fax

Practice location:
  • Phone: 775-799-7320
  • Fax:
Mailing address:
  • Phone: 775-420-1788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number100300717
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: