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NPI Code Detail

MEDICARE: LAINEY HAYES STACH

MEDICARE: LAINEY HAYES STACH
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
1106S00000XBehavior TechnicianRBT-23-268880OK

General Provider Information

NPI Number : 1356038632
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAINEY HAYES STACH
Provider Business Mailing Address
First Line : 4515 E 91ST ST
Second Line :
City : TULSA
State : OK
Zip : 74137-2861
Country : US
Telephone Number : 855-782-7822
Fax Number :
Provider Business Practice Location Address
First Line : 4515 E 91ST ST
Second Line :
City : TULSA
State : OK
Zip : 74137-2861
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2023
Last Update Date : 04/18/2023

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Directions to “ LAINEY HAYES STACH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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