| Doctor Name: | LAUREN STACY |
| NPI Number: | 1053719922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 2305208655 |
| Business Practice Address: | 762 Independence Blvd #772 Virginia Beach, VA - 234556200 |
| Business Phone Number: | 7574562032 |
| Business Fax Number: | 7574816175 |
| Mailing Address: | Po Box 5982, VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234710982 |
| Phone Number: | 7574370412 |
| Fax Number: | 7574374582 |
| NPI Enumeration Date: | 12/09/2014 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305208655 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |