Most Relevant Information
Provider Data
| NPI Number: | 1003323775 |
| Provider Name: | STACY LAMONTAGNA NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704336065 |
Most Important Dates
| Enumeration Date: | 01/04/2018 |
| Last Updated: | 01/04/2018 |
Provider Practice Location
2864 ASHMUN ST
SAULT SAINTE MARIE
MI
497833740
Practice Location Phone/Fax
| Phone: | 9066325200 |
| Fax: | 9066325276 |
Provider Mailing Location
2864 ASHMUN ST
SAULT SAINTE MARIE
MI
497833740
Provider Mailing Phone/Fax
| Phone: | 9066325200 |
| Fax: | 9066325276 |