Individual provider · Type 1 NPI

Stacy J. Laack, PA

Medical Physician Assistant · Orlando, FL

NPI number 1033181201 Active

Practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

500 Winderley Pl, Suite 115
Maitland, FL 32751-7247

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9103185 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1033181201

Stacy J. Laack, PA's National Provider Identifier is 1033181201, issued on Feb 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Jul 8, 2007.