Individual
STACY M STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
115 TANGLEWOOD CT, LEBANON, PA 17042-9472
(484) 554-3827
Mailing address
115 TANGLEWOOD CT, LEBANON, PA 17042-9472
(484) 554-3827
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
DO2565
TN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS013789
PA
Other
Enumeration date
08/20/2006
Last updated
10/24/2023
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