Stacey Lane

Case Manager/Care Coordinator · Jay, OK

Individual Active NPI

NPI number 1164057584

Practice location

1015 W Washbourne St
Jay, OK 74346-4205
Phone
(918) 308-5513

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NPI record

NPI
1164057584
Entity type
Individual (Type 1)
Enumeration date
March 5, 2020
Last updated
March 5, 2020
Certified
March 5, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

1015 W Washbourne
Jay, OK 74346-4205

About Stacey Lane

Stacey Lane is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1015 W Washbourne St, Jay, OK 74346-4205. The NPI number 1164057584 was assigned on March 5, 2020 and the record was last updated on March 5, 2020.

Frequently asked questions

What is the NPI number of Stacey Lane?

The NPI number is 1164057584.

What is the phone number of Stacey Lane?

The phone number listed for the practice location is (918) 308-5513.

Where is Stacey Lane located?

1015 W Washbourne St, Jay, OK 74346-4205.

What is the taxonomy code for Stacey Lane?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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