Lusby, Stacia W
Lusby, Stacia W is an sole proprietor health care provider with primary practice located at 1501 S Coulter St , Amarillo TX 79106-1770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Lusby, Stacia W can be contacted via phone (806) 367-2488.Contact Information
Primary practice address
1501 S Coulter St
Amarillo TX 79106-1770
Phone: (806) 367-2488
Fax: (806) 354-1833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | L6103 | Texas |
Profile Details
| NPI number | 1508960832 |
|---|---|
| LBN Legal business name | Lusby, Stacia W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Aug 9th, 2022 - about 2 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 | 1508960832 | NPPES |
| Texas | MEDICAID | 184947303 |
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