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Individual

STACEY MARIE LINDO-UKATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11001 DURANT RD STE 100, RALEIGH, NC 27614-8390
(919) 781-2500
(910) 781-9247
Mailing address
11001 DURANT RD STE 100, RALEIGH, NC 27614-8390
(919) 781-2500
(910) 781-9247

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2014-01592
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003125861A
GA
01
2014-01592
NC LICENSE
NC
01
67500
GA LIC NUMBER
GA
Enumeration date
06/13/2008
Last updated
07/21/2022
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