STACY LANE

OXFORD, MS
NPI1891145165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MS  320887)
Enumeration Date2016-06-17
Last Update Date2016-06-17
Business Address
STACY LANE LPN
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
Mailing Address
STACY LANE LPN
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521