Whalio Doctors

NPI 1134640162

Laurel Elizabeth Stacy, DO

Practitioner Family Medicine Physician Cushing, OK

Practice location

Address
1030 E Cherry St, Cushing, OK 74023-4102
Phone
(918) 225-0616
Mailing address
1145 S Utica Ave STE 110, Tulsa, OK 74104-4013

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 6503 (OK)

Registry record

NPI
1134640162
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jun 2017
Record last updated
16 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.