Individual provider · Type 1 NPI

Stacey Louise Mazzacco, MD

Vascular Surgery Physician · Lancaster, PA

NPI number 1265413207 Active

Practice location

2104 Harrisburg Pike, Ste 200
Lancaster, PA 17601-2644

Call (717) 544-3626 Map

Fax (717) 544-3628

Mailing address

2104 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMD053932L (PA)
Vascular Surgery Physician Primary 2086S0129XMD053932L (PA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1265413207

Stacey Louise Mazzacco, MD's National Provider Identifier is 1265413207, issued on Nov 8, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lancaster, PA. The record was last updated on Sep 30, 2020.