Stacy, Lisa Langley
Stacy, Lisa Langley is an sole proprietor health care provider with primary practice located at 5179 Marsden Trce , Powder Springs GA 30127-4321. 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. Stacy, Lisa Langley can be contacted via phone (678) 472-4042.Contact Information
Primary practice address
5179 Marsden Trce
Powder Springs GA 30127-4321
Phone: (678) 472-4042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 007304 | Georgia |
Profile Details
| NPI number | 1851486070 |
|---|---|
| LBN Legal business name | Stacy, Lisa Langley |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 8th, 2019 - 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 | 1851486070 | NPPES |
| Georgia | MEDICAID | 736506618A |
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