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
ZIP Code
26205-8930
Phone
(304) 651-9007

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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