Lori Harris Stockdale in Dothan - Surgical

Lori Harris Stockdale - NPI 1518918341

Lori Harris Stockdale is a Surgical in Dothan, Alabama. Lori Harris Stockdale practices all healthcare services and medical treatments related to Surgical. The NPI Number for Lori Harris Stockdale is 1518918341. The last update date is 2018-03-05.

Lori Harris Stockdale's current location address is 1812 E Main St, Dothan, Alabama. You can contact this provider via phone number 3347942825 and fax number 3347935050. The mailing address for Lori Harris Stockdale is 1812 E Main St, Dothan, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Lori Harris Stockdale
Address 1812 E Main St, Dothan, Alabama
Phone Number 3347942825
Fax Number 3347935050
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1518918341
Provider Enumeration Date 2006-05-15
Last Updated Date 2018-03-05

Provider Mailing Address Detail

Address 1812 E Main St
City Dothan
State Alabama (AL)
Post Code 363013000
Phone Number 3347942825
Fax Number 3347935050

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA10004359
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51000527 AL BLUE CROSS & BLUE SHIELD
51000529 AL BLUE CROSS & BLUE SHIELD
51000528 AL BLUE CROSS & BLUE SHIELD

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FAQs about Lori Harris Stockdale

What is the unique identifier code issued to Lori Harris Stockdale by the Centers for Medicare & Medicaid Services (CMS)?

The Lori Harris Stockdale has been assigned the NPI (National Provider Identifier) 1518918341. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Lori Harris Stockdale's facilities are geographically located?

The facilities of Lori Harris Stockdale are physically situated at the following location: 1812 E Main St, Dothan, AL, 363013000.

What is the Lori Harris Stockdale's area of specialization and corresponding taxonomy classification?

The Lori Harris Stockdale's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.

On what date did the Lori Harris Stockdale receive its 1518918341 assignment from the Centers for Medicare & Medicaid Services?

The Lori Harris Stockdale was assigned its 1518918341 by the Centers for Medicare & Medicaid Services on 2006-05-15.

As of what date were the details pertaining to Lori Harris Stockdale last refreshed?

The information related to the Lori Harris Stockdale, including its address, specialty, and other relevant details, was last updated on 2018-03-05.

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