Organization
COMMONWEALTH NEURO-SCIENCE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI ANN STUART DO (PHYSICIAN/OWNER)
(985) 855-8405
Entity
Organization
Contact information
Practice address
850 HAIL KNOB RD, SUITE A, SOMERSET, KY 42503-3418
(606) 425-4141
(606) 425-4142
Mailing address
850 HAIL KNOB RD, SUITE A, SOMERSET, KY 42503-3418
(606) 425-4141
(606) 425-4142
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
03091
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00674
MEDICARE PTAN
KY
Enumeration date
05/21/2008
Last updated
08/05/2008
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