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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1033296405 | NPPES |
| Alaska | MEDICAID | OT15371 |
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