Mazzacco, Stacey Louise
Mazzacco, Stacey Louise is an individual health care provider with primary practice located at 2104 Harrisburg Pike Ste 200, Lancaster PA 17601-2644. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Mazzacco, Stacey Louise can be contacted via phone (717) 544-3626.Contact Information
Primary practice address
2104 Harrisburg Pike Ste 200
Lancaster PA 17601-2644
Phone: (717) 544-3626
Fax: (717) 544-3628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD053932L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD053932L | Pennsylvania |
Profile Details
| NPI number | 1265413207 |
|---|---|
| LBN Legal business name | Mazzacco, Stacey Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Sep 30th, 2020 - about 5 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 | 1265413207 | NPPES |
| Pennsylvania | MEDICAID | 0178844 | |
| Pennsylvania | Other | 020048899 |
Popular Providers
-
Albright, Janet Lynn
689 Sierra Rose Dr Ste B , Reno NV 89511-2076 -
Sales, Clifford M
433 Central Ave , Westfield NJ 07090-2520 -
Woratyla, Steven P
2101 Embassy Dr , Lancaster PA 17603-2387 -
Shah, Pravin
19 Bradhurst Ave Ste 700, Hawthorne NY 10532-2140 -
Carrasquillo, Thomas (Tomas)
708 S. Del Prado Blvd Suite 1, Cape Coral FL 33990-2676 -
Dermody, Meghan
2104 Harrisburg Pike Suite 200, Lancaster PA 17601-2644 -
Byrnett, Jeffrey William
1234 Huffman Mill Road , Burlington NC 27215-8700 -
Uribe, Alexander
100 E Lancaster Ave Ste 222 , Wynnewood PA 19096