Lord, Stacey Marie

Lord, Stacey Marie is an individual health care provider with primary practice located at 8200 Homer Dr Ste F , Anchorage AK 99518-3330. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Lord, Stacey Marie can be contacted via phone (907) 345-0050.

Contact Information

Primary practice address
8200 Homer Dr Ste F Anchorage AK 99518-3330
Phone: (907) 345-0050
Fax: (907) 344-5103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1537 Alaska

Profile Details

NPI number 1033296405
LBN Legal business name Lord, Stacey Marie
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1033296405 NPPES
Alaska MEDICAID OT15371

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