Individual
MR. LANNY MICHAEL STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
160 N LAMPASAS, BERTRAM, TX 78605
(512) 335-9233
(512) 355-9230
Mailing address
PO BOX 1219, BURNET, TX 78611-7219
(512) 355-9233
(512) 355-9230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00127
LICENSE
TX
Enumeration date
07/19/2006
Last updated
02/23/2016
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