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Contact Information

STACIA LEE
900 LAKE OVERLOOK DR
BOWIE, MD20721-2931
 Phone: 240-412-4194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for STACIA LEE · (Female)

NPI Number 1366153546
Status Active
Credentials
Entity Individual
Enumeration date 12/08/2022
Last updated 12/08/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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