Garry, Stacey Lynne
Garry, Stacey Lynne is an individual health care provider with primary practice located at 3186 S Maryland Parkway , Las Vegas NV 89109. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Garry, Stacey Lynne can be contacted via phone (702) 731-8000.Contact Information
Primary practice address
3186 S Maryland Parkway
Las Vegas NV 89109
Phone: (702) 731-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 6197 | Nevada |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | G86634 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 6197 | Nevada |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G86634 | California |
Profile Details
| NPI number | 1821059908 |
|---|---|
| LBN Legal business name | Garry, Stacey Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Dec 17th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821059908 | NPPES |
| Nevada | MEDICAID | 2002250H |
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