STACEY DENISE DINES

LAWRENCE PHYSICIANS LLC

Dr STACEY DENISE DINES is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.

Contact

LAWRENCE PHYSICIANS LLC

600 E 20TH ST
200 EUDORA FAMILY CARE
EUDORA
KS
660257801

Tel: 7855422345

STACEY DENISE DINES Information

Npi 1609041748
Pac Id 0749503027
Professional Enrollment Id I20141217000887
Last Name DINES
First Name STACEY
Middle Name DENISE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAWRENCE PHYSICIANS LLC
Group Practice Pac Id 1951623834
Number Of Group Practice Members 150
Line 1 Street Address 600 E 20TH ST
Line 2 Street Address 200 EUDORA FAMILY CARE
Marker Of Address Line 2 Suppression
City EUDORA
State KS
Zip Code 660257801
Phone Number 7855422345
Hospital Affiliation Ccn 1 170137
Hospital Affiliation Lbn 1 LAWRENCE MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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