Most Relevant Information
Provider Data
NPI Number: | 1003205386 |
Provider Name: | STACIE STRONG |
Entity Type: | Individual |
Taxonomy Code: | 363LP0200X |
Specialty: | Nurse Practitioner |
License Number: | 6159 |
Most Important Dates
Enumeration Date: | 01/09/2015 |
Last Updated: | 01/09/2015 |
Provider Practice Location
2500 STATE RD # 33
LA CROSSE
WI
546015098
Practice Location Phone/Fax
Phone: | 6087755858 |
Fax: |
Provider Mailing Location
1836 SOUTH AVE
LA CROSSE
WI
546015429
Provider Mailing Phone/Fax
Phone: | 6087827300 |
Fax: |