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NPI Code Detail

MEDICARE: LACEY STONE

MEDICARE: LACEY STONE
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
1235Z00000XSpeech-Language Pathologist110769TX

General Provider Information

NPI Number : 1437551538
Entity Type Code : Individual
Provider Name (Legal Business Name) : LACEY STONE
Provider Business Mailing Address
First Line : 10600 YORK RD STE 105
Second Line :
City : COCKEYSVILLE
State : MD
Zip : 21030-2396
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 PARKVIEW LN
Second Line :
City : BEDFORD
State : TX
Zip : 76022-7989
Country : US
Telephone Number : 817-354-6556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2014
Last Update Date : 09/19/2014

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Directions to “ LACEY STONE ” 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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