Individual
LAUREN STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1788 REPUBLIC RD STE 100, VIRGINIA BEACH, VA 23454-4552
(757) 437-0412
(757) 437-4582
Mailing address
1450 KEMPSVILLE RD STE 102, VIRGINIA BEACH, VA 23464-7320
(757) 962-1618
(757) 481-6175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208655
VA
Other
Enumeration date
12/09/2014
Last updated
02/28/2025
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