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Individual

STACY LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
127 ANDERSON ST, SUITE 101 TIMBER COURT, PITTSBURGH, PA 15212-5803
(412) 322-4151
(844) 389-1405
Mailing address
127 ANDERSON ST, SUITE 101 TIMBER COURT, PITTSBURGH, PA 15212-5803
(412) 322-4151
(844) 389-1405

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS012906
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009958930004
PA
05
2750741
OH
05
3810009044
WV
Enumeration date
04/24/2007
Last updated
12/07/2021
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