| Stacy Lane Do Llc | |
|
25 Heckel Rd Mc Kees Rocks PA 15136-1651 | |
| (412) 608-8313 | |
| Not Available |
| Full Name | Stacy Lane Do Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 25 Heckel Rd, Mc Kees Rocks, Pennsylvania |
| Authorized Official Name and Position | Stacy Lane (MEMBER) |
| Authorized Official Contact | 4126088313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Lane Do Llc 25 Heckel Rd Mc Kees Rocks PA 15136-1651 Ph: (412) 608-8313 | Stacy Lane Do Llc 25 Heckel Rd Mc Kees Rocks PA 15136-1651 Ph: (412) 608-8313 |
| NPI Number | 1922441021 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922441021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | OS012906 (Pennsylvania) | Primary |
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