Cooper, Stacy Lorine

Cooper, Stacy Lorine is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Cooper, Stacy Lorine can be contacted via phone (410) 955-5000.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X D74065 Maryland

Profile Details

NPI number 1013182963
LBN Legal business name Cooper, Stacy Lorine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Sep 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013182963 NPPES
Maryland Other D74065 LICENSE

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