MEDICARE: LACEY BETH ANDERSON DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1144094574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACEY BETH ANDERSON DPT

Provider Business Mailing Address
First Line	:	23296 LA MAR APT D
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-7837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23296 LA MAR APT D
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-7837
Country	:	US
Telephone Number	:	805-368-1923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2023
Last Update Date	:	11/07/2023

Similar Medicare Providers

1669278198 — BASIC HABITS
Practice Location Address:

3505 SANTA TERESA
MISSION, TX
78572-7837

Practice Phone: 956-529-7642
Practice Fax:

1942078555 — ISBEL PAMELA CANO RDN, LD
Practice Location Address:

3505 SANTA TERESA
MISSION, TX
78572-7837

Practice Phone: 956-658-9356
Practice Fax:

1588505218 — DR. NGOC-LINH NGUYEN
Practice Location Address:

27700 MEDICAL CENTER RD
MISSION VIEJO, CA
92691-6426

Practice Phone: 949-365-2220
Practice Fax:

1861596942 — TAMI BETH KENNEDY NP
Practice Location Address:

26691 PLAZA STE 200
MISSION VIEJO, CA
92691-8582

Practice Phone: 949-998-2299
Practice Fax: 949-449-8458

1114869583 — TERESA LAM
Practice Location Address:

23361 MADERO STE 176
MISSION VIEJO, CA
92691-2715

Practice Phone: 951-268-0489
Practice Fax: 714-849-5851

1114606373 — ALEXIS NOELIA LEBLANC LMFT
Practice Location Address:

27401 LOS ALTOS STE 120
MISSION VIEJO, CA
92691-8580

Practice Phone: 562-431-8822
Practice Fax:

Directions to “ LACEY BETH ANDERSON DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.