Individual
STACY A. LOURIE
Active
Individual
STACY A. LOURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0038026
DE
363LF0000X
Family Nurse Practitioner
26NN08027300
NJ
363LF0000X
Family Nurse Practitioner
Primary
LG-0000500
DE
Other
Enumeration date
02/22/2007
Last updated
05/27/2020
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