Individual
STACEY LANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1515 S UNIVERSITY BLVD, MOBILE, AL 36609-2958
(251) 343-9600
Mailing address
1515 S UNIVERSITY BLVD, MOBILE, AL 36609-2958
(251) 343-9600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-094378
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-094378
ALABAMA STATE BOARD
AL
Enumeration date
02/18/2019
Last updated
02/18/2019
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