Stacy Rene Lane
NPI #1306452610 in Craigsville, West Virginia
Provider Information
- NPI Number
- 1306452610
- Entity Type
- Individual
- Name
- Stacy Rene Lane
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 22, 2020
- Last Updated
- Aug 18, 2021
Practice Location
- Address
- 95 PONDEROSA DR
- City
- Craigsville
- State
- West Virginia
- ZIP Code
- 26205-8930
- Phone
- (304) 651-9007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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