Individual
DR. NINA DE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356560, SEATTLE, WA 98195-6560
(206) 543-3750
Mailing address
468 NOE ST, SAN FRANCISCO, CA 94114-2016
(650) 704-4230
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD 60482456
WA
Other
Enumeration date
04/14/2011
Last updated
07/12/2016
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