Organization
LAKEWAY EYE PHYSICIANS AND SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINA STANCEY MD (OWNER)
(512) 402-9919
Entity
Organization
Contact information
Practice address
1007 RR 620 S, SUITE 100, LAKEWAY, TX 78734-5634
(512) 402-9919
(512) 402-9151
Mailing address
1007 RR 620 S, SUITE 100, LAKEWAY, TX 78734-5634
(512) 402-9919
(512) 402-9151
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M1369
TX
Other
Enumeration date
01/27/2006
Last updated
03/29/2011
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