Organization
CENTRAL OUTREACH WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY LANE DO (OWNER)
(412) 608-8313
Entity
Organization
Contact information
Practice address
127 ANDERSON ST, PITTSBURGH, PA 15212-5803
(412) 608-8313
(412) 920-5861
Mailing address
PO BOX 19425, CLEVELAND, OH 44119-0425
(412) 322-4151
(844) 389-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
03/05/2025
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