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NPI Code Detail

MEDICARE: STACY LAWYER

MEDICARE:   STACY  LAWYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1154833051
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY LAWYER
Provider Business Mailing Address
First Line : 5950 FAIRVIEW RD STE 618
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3113
Country : US
Telephone Number : 704-800-6555
Fax Number : 980-422-0288
Provider Business Practice Location Address
First Line : 5950 FAIRVIEW RD STE 618
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3113
Country : US
Telephone Number : 704-800-6555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2017
Last Update Date : 04/08/2026

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Directions to “ STACY LAWYER ” Practice Location

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