Moreno, Stacia Lark

Moreno, Stacia Lark is an individual health care provider with primary practice located at 1501 Division St , Baltimore MD 21217-3121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moreno, Stacia Lark can be contacted via phone (410) 383-8300.

Contact Information

Primary practice address
1501 Division St Baltimore MD 21217-3121
Phone: (410) 383-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R225927 Maryland

Profile Details

NPI number 1629774567
LBN Legal business name Moreno, Stacia Lark
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2023
Last updated Mar 8th, 2023 - about 3 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.

Request for update

Popular Providers