Individual
MR. LAURENCE WILLIAM STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
2746 SUPERIOR DR NW, SUITE 300, ROCHESTER, MN 55901-8343
(507) 288-0064
(507) 288-3993
Mailing address
203 3RD ST SE, STEWARTVILLE, MN 55976-1314
(507) 533-4618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5186
MN
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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