STACY ALEKS LANE

YOUNGSTOWN, OH
NPI1255913521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
(Licence: OH  58.032408)
Enumeration Date2021-04-26
Last Update Date2021-06-30
Business Address
STACY ALEKS LANE DO
1044 BELMONT AVE
YOUNGSTOWN, OH 44504-1006
Phone number: 330-480-2616
Mailing Address
STACY ALEKS LANE DO
4102 CREDE DR
CHARLESTON, WV 25302-4710
Phone number: 304-716-1696