Stacey Lynn Lovern, OTR
Individual provider Active NPI Specialist · Buffalo, NY
NPI 1992909352 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992909352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 011956-1 (NY)
- Practice address
- Buffalo Hearing & Speech Center
50 East North Street
Buffalo, NY 14203 - Phone
- (716) 885-8318
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011956-1 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 011956-1 | NY | Yes |
Addresses
Primary practice location
Buffalo Hearing & Speech Center
50 East North Street
Buffalo, NY 14203
Mailing address
10460 Shore Acres
Dunkirk, NY 14048-9630
Phone (716) 679-1923
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.