Laff, Stacie

Laff, Stacie is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 280 , Belleville IL 62226-5363. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Laff, Stacie can be contacted via phone (618) 257-2800.

Contact Information

Primary practice address
4600 Memorial Dr Ste 280 Belleville IL 62226-5363
Phone: (618) 257-2800
Fax: (618) 257-9802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-092496 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 103954 Missouri

Profile Details

NPI number 1851318489
LBN Legal business name Laff, Stacie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 18th, 2013 - about 12 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 1851318489 NPPES
Illinois MEDICAID 036092496-2
Illinois MEDICAID 036092496-3

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