Stacie Mencke

NPI #1972999787 in Lyndhurst, Ohio

Provider Information

NPI Number: 1972999787
Entity Type: Individual
Name: Stacie Mencke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Apr 8, 2015
Last Updated: Apr 8, 2015

Practice Location

Address: 5195 MAYFIELD RD
Address 2: SUITE 10
City: Lyndhurst
State: Ohio
ZIP Code: 44124-2464
Phone: (440) 720-1810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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