Stacy Lynn Libricz is a Medical in Gilbert, Arizona. Stacy Lynn Libricz practices all healthcare services and medical treatments related to Medical. The NPI Number for Stacy Lynn Libricz is 1740330901. The last update date is 2022-07-20.
Stacy Lynn Libricz's current location address is 2946 E Banner Gateway Dr, Gilbert, Arizona. You can contact this provider via phone number 4802566444 and fax number 4802563682. The mailing address for Stacy Lynn Libricz is 2946 E Banner Gateway Dr, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Lynn Libricz |
|---|---|
| Address | 2946 E Banner Gateway Dr, Gilbert, Arizona |
| Phone Number | 4802566444 |
| Fax Number | 4802563682 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740330901 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2022-07-20 |
Provider Mailing Address Detail
| Address | 2946 E Banner Gateway Dr |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852342165 |
| Phone Number | 4802566444 |
| Fax Number | 4802563682 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 4513 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identifier code issued to Stacy Lynn Libricz by the Centers for Medicare & Medicaid Services?
The Stacy Lynn Libricz has been assigned the NPI (National Provider Identifier) 1740330901. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stacy Lynn Libricz?
The Stacy Lynn Libricz is physically situated at 2946 E Banner Gateway Dr, in the city of Gilbert, state of AZ, with the postal code 852342165.
What is Stacy Lynn Libricz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy Lynn Libricz is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Stacy Lynn Libricz receive the assignment of its 1740330901 from the Centers for Medicare & Medicaid Services?
The Stacy Lynn Libricz was issued its 1740330901 by the Centers for Medicare & Medicaid Services on 2007-01-11.
When was the Stacy Lynn Libricz's information last updated?
The Stacy Lynn Libricz's information was last updated on 2022-07-20.