Lake Murray Obgyn

NPI 1003974171 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1003974171
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STACY L STACY
Position OWNER
Phone (803) 996-5550
Fax
Practice Location
1404 W MAIN ST STE 1
LEXINGTON SC, 29072-2332, US
Phone (803) 996-5550
Fax
Business Location
1404 W MAIN ST STE 1
LEXINGTON SC, 29072-2332, US
Phone (803) 996-5550
Fax
Toxanomy
Taxonomy Code 207VG0400X
License State
License Number
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According to our database, Lake Murray Obgyn NPI is 1003974171, taxonomy code is 207VG0400X Lake Murray Obgyn physically located at 1404 W Main St Ste 1, Lexington SC, 29072-2332. NPI Number 1033115704 has the healthcare provider type.

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1003974171 NPI number is provided on an as is basis without warranty of any kind. 1003974171 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Murray Obgyn are for informational purposes only.