Individual
STACY LEPSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
530 N MONTE VISTA ST STE A, ADA, OK 74820-4675
(580) 310-9510
(580) 436-4447
Mailing address
530 N MONTE VISTA ST STE A, ADA, OK 74820-4675
(580) 310-9510
(580) 436-4447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP143892
TX
363LF0000X
Family Nurse Practitioner
Primary
208440
OK
363LF0000X
Family Nurse Practitioner
61167
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61167
NM MEDICAL LICENSE
NM
01
—
AP143892
APRN LICENSE
TX
Enumeration date
11/25/2019
Last updated
08/04/2022
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