Individual
MS. LISA SCHLAGETER STADALIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 CHASTAIN RD NW, 52, KENNESAW, GA 30144-5588
(770) 423-6642
Mailing address
2603 CANOPY LN, MARIETTA, GA 30066-1542
(770) 591-9389
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN187814 NP
GA
Other
Enumeration date
08/26/2007
Last updated
08/26/2007
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