LAUREN R STACK

JACKSONVILLE, FL
NPI1760493290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: FL  AZ504)
Enumeration Date2006-08-10
Last Update Date2011-09-06
Business Address
MS. LAUREN R STACK AUD
807 CHILDRENS WAY
JACKSONVILLE, FL 32207-8426
Phone number: 904-390-3690
Mailing Address
MS. LAUREN R STACK AUD
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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