Organization
STACY LANE DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LANE DO (MEMBER)
(412) 608-8313
Entity
Organization
Contact information
Practice address
25 HECKEL RD, MC KEES ROCKS, PA 15136-1651
(412) 608-8313
Mailing address
25 HECKEL RD, MC KEES ROCKS, PA 15136-1651
(412) 608-8313
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS012906
PA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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