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1760590525
LORI J STACK
PHILADELPHIA, PA
NPI
1760590525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: PA MD449411)
Enumeration Date
2006-08-29
Last Update Date
2018-11-21
Business Address
LORI J STACK MD
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-2730
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Mailing Address
LORI J STACK MD
100 E PENN SQ THE WANAMAKER BLDG. 9TH FLOOR
PHILADELPHIA, PA 19107-3323
Phone number: 267-425-9538
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