Individual
DR. AMA LINDIWE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13380 GOLDENHORN DR, CORONA, CA 92883-6653
(951) 310-3075
(951) 602-6666
Mailing address
13380 GOLDENHORN DR, CORONA, CA 92883-6653
(951) 310-3075
(951) 602-6666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A63380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11652968
CAQH
—
05
—
A66380
—
CA
Enumeration date
10/26/2006
Last updated
10/15/2024
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