Individual
ALYSSA JEAN LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
87 PLAZA BLVD, PLATTSBURGH, NY 12901-6438
(518) 536-7060
(518) 536-7075
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
349070
NY
363LF0000X
Family Nurse Practitioner
Primary
349070
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07097010
—
NY
Enumeration date
01/17/2022
Last updated
05/11/2026
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