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1083818686

NPI Code Detail

MEDICARE: DR. STACEY LYNN WARNER MD

MEDICARE: DR. STACEY LYNN WARNER MD

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
1	207L00000X	Anesthesiology Physician	BP1-0017196	TX
2	207L00000X	Anesthesiology Physician	0069660	CO
3	207L00000X	Anesthesiology Physician	M9080	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01446846	OTHER	TX	RR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8EH631	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1083818686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STACEY LYNN WARNER MD

Provider Business Mailing Address
First Line	:	PO BOX 1744
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-6244
Country	:	US
Telephone Number	:	720-230-6848
Fax Number	:

Provider Business Practice Location Address
First Line	:	9777 S YOSEMITE ST STE 210
Second Line	:
City	:	LONE TREE
State	:	CO
Zip	:	80124-3115
Country	:	US
Telephone Number	:	303-708-2943
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	04/28/2023

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Directions to “ DR. STACEY LYNN WARNER MD” Practice Location

Language	Start Address	Practice Location

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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