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Lori J Stack, MD
Obstetrics & Gynecology Physician in Philadelphia, Pennsylvania
NPI 1760590525

Lori J Stack is a Obstetrics & Gynecology Physician based in Philadelphia, PA. Lori J Stack practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Lori J Stack is 1760590525 and holds a License No. MD449411 (Pennsylvania).

The current practice location address for Lori J Stack is 3401 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-2730 and via fax at 215-590-4875.

Location: 3401 Civic Center Blvd, Philadelphia, PA, 19107-3323
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Provider Profile Details
NPI Number
1760590525
Provider Name
Lori J Stack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3401 Civic Center Blvd, Philadelphia, PA, 19107-3323
Phone Number
215-590-2730
Fax Number
215-590-4875
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102873853-0001 05 PA
9780246 05 MA
institution
Provider Business Practice Location Address Details
Address
3401 Civic Center Blvd
City
State
Zip
19104-4319
Phone Number
215-590-2730
Fax Number
215-590-4875
person
Provider Business Mailing Address Details
Address
3401 Civic Center Blvd
City
State
Zip
19104-4319
Phone Number
215-590-2730
Fax Number
215-590-4875
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
MD449411 (Pennsylvania)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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