Lage, Stephanie A
Lage, Stephanie A is an sole proprietor health care provider with primary practice located at 2780 Cleveland Ave Suite 819, Fort Myers FL 33901-5858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lage, Stephanie A can be contacted via phone (239) 343-3800.Contact Information
Primary practice address
2780 Cleveland Ave Suite 819
Fort Myers FL 33901-5858
Phone: (239) 343-3800
Fax: (239) 343-3993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9102148 | Florida |
Profile Details
| NPI number | 1346230653 |
|---|---|
| LBN Legal business name | Lage, Stephanie A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Aug 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346230653 | NPPES |
| Florida | Other | PA9102148 | LICENSE |
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