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NPI Code Detail

MEDICARE: STACY A LAPISH CRNA

MEDICARE: STACY A LAPISH CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN314511OH

General Provider Information

NPI Number : 1164776621
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY A LAPISH CRNA
Provider Business Mailing Address
First Line : 659 BOULEVARD ST
Second Line :
City : DOVER
State : OH
Zip : 44622-2026
Country : US
Telephone Number : 330-602-0767
Fax Number : 330-365-3831
Provider Business Practice Location Address
First Line : 659 BOULEVARD ST
Second Line :
City : DOVER
State : OH
Zip : 44622-2026
Country : US
Telephone Number : 330-602-0767
Fax Number : 330-365-3831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2012
Last Update Date : 02/06/2026

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