STACY LANE DO LLC

MC KEES ROCKS, PA
NPI1922441021
Entity TypeOrganization
Authorized ContactSTACY LANE
Member
412-608-8313
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: PA  OS012906)
Enumeration Date2013-04-09
Last Update Date2013-04-09
Business Address
STACY LANE DO LLC
25 HECKEL RD
MC KEES ROCKS, PA 15136-1651
Phone number: 412-608-8313
Mailing Address
STACY LANE DO LLC
25 HECKEL RD
MC KEES ROCKS, PA 15136-1651
Phone number: 412-608-8313