Individual
STACIE G DEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5922
Mailing address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20469
NH
207L00000X
Anesthesiology Physician
2320631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02600219
—
NY
Enumeration date
12/21/2005
Last updated
06/18/2020
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