Healthcare Provider Details

I. General information

NPI: 1932267440
Provider Name (Legal Business Name): LISA ONUFRAK STONER DDS,MS, PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 9TH ST SUITE 280
DURHAM NC
27705-4149
US

IV. Provider business mailing address

811 9TH ST SUITE 280
DURHAM NC
27705-4149
US

V. Phone/Fax

Practice location:
  • Phone: 919-286-9090
  • Fax: 919-286-1822
Mailing address:
  • Phone: 919-286-9090
  • Fax: 919-286-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number6778
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: