Stacy Ellen Lake ATC

  • NPI 1912274663
According to our database, the NPI number for Stacy Ellen Lake ATC is 1912274663 and activated since 12 years ago. Stacy Ellen Lake ATC is an individual provider who specializes in Athletic Trainer, and the primary practice location is 14730 Pulver Rd, Fort Wayne, IN 46845. You can also contact Stacy Ellen Lake ATC via telephone number is (260) 413-6770. Provider NPI information was last updated on 11/23/2011.

Recently Active NPIs

Overview of Stacy Ellen Lake ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/23/2011
  • Last updated: 11/23/2011

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 36000573A
  • License State: IN

Provider Mailing Address

  • Address: 14730 Pulver Rd
    Fort Wayne, IN 46845
  • Phone: 260-413-6770
  • Fax:

Provider Practice Location

  • Address: 14730 Pulver Rd
    Fort Wayne, IN 46845
  • Phone: 260-413-6770
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 36000573A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Stacy Ellen Lake ATC?
  • A: The npi number for Stacy Ellen Lake ATC is 1912274663.
  • Q: What are Stacy Ellen Lake ATC's specialties?
  • A: Stacy Ellen Lake ATC's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Stacy Ellen Lake ATC?
  • A: The medical license number for Stacy Ellen Lake ATC is 36000573A and issued in IN in USA.
  • Q: Where is Stacy Ellen Lake ATC practice location?
  • A: Stacy Ellen Lake ATC is practicing at 14730 Pulver Rd, Fort Wayne, IN 46845.
  • Q: How to contact Stacy Ellen Lake ATC?
  • A: You can contact Stacy Ellen Lake ATC via 260-413-6770.