Stacey Ann Clark (NPI# 1699891580, PAC ID# 4183688815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1699891580 |
| PAC ID by PECOS | 4183688815 |
| Professional Enrollment ID | I20121204000007 |
| Full Name | Stacey Ann Clark |
| Organization Legal Name | LYNDONVILLE FAMILY CHIROPRACTIC, INC. |
| Address |
11 Hill St Lyndonville VT 05851-8911 |
| Phone Number | 8026265866 |
| Gender | F |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2004 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8224090881 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11 Hill St, Lyndonville, VT 05851-8911 | 8026265866 | LYNDONVILLE FAMILY CHIROPRACTIC, INC. |
| Organization Legal Name | LYNDONVILLE FAMILY CHIROPRACTIC, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karson Ellsworth Clark Ii | Chiropractic | Lyndonville Family Chiropractic, Inc. | 11 Hill St, Lyndonville, VT 05851-8911 |
| Street Address |
11 HILL ST |
| City | LYNDONVILLE |
| State | VT |
| Zip | 05851-8911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karson Ellsworth Clark Ii | Chiropractic | Lyndonville Family Chiropractic, Inc. | 11 Hill St, Lyndonville, VT 05851-8911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karey Leigh Pierce | Physical Therapy | Northeastern Vermont Regional Hospital Inc | 569 Main St, Lyndonville, VT 05851-9240 |
| Matthew R Breton | Physical Therapy | Northeastern Vermont Regional Hospital Inc | 569 Main St, Lyndonville, VT 05851-9240 |
| Krista E Boulanger | Physical Therapy | Northeastern Vermont Regional Hospital Inc | 569 Main St, Lyndonville, VT 05851-9240 |
| Jennifer Ann Legacy | Physical Therapy | Northeastern Vermont Regional Hospital Inc | 569 Main St, Lyndonville, VT 05851-9240 |
| Lindsay L Osteen | Physical Therapy | Northeastern Vermont Regional Hospital Inc | 569 Main St, Lyndonville, VT 05851-9240 |
| Benjamin Arthur Mccormack | Physical Therapy | Northern Physical Therapy PC | 569 Main St, Lyndonville, VT 05851-9240 |
| Anthony Sgherza | Physical Therapy | Northern Physical Therapy PC | 569 Main St, Lyndonville, VT 05851-9240 |
| City | LYNDONVILLE |
| Zip Code | 05851 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LYNDONVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Stacey Ann Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.