Lachs, Stacey Lisa

Lachs, Stacey Lisa is an individual health care provider with primary practice located at 10 Stanford Ct , West Orange NJ 07052-2024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lachs, Stacey Lisa can be contacted via phone (908) 718-1497.

Contact Information

Primary practice address
10 Stanford Ct West Orange NJ 07052-2024
Phone: (908) 718-1497
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00211500 New Jersey

Profile Details

NPI number 1184707606
LBN Legal business name Lachs, Stacey Lisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jan 5th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184707606 NPPES
New York MEDICAID 00246075

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