Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35038388A | OH |
N | 208600000X | Surgeon | 35038388A | OH |
N | 2082S0105X | Plastic Hand Surgeon | 35038388A | OH |
NPI | 1992843031 |
---|---|
Provider Name | Dr. Stanley Lake Alexander |
First Address | Lebanon, OH 45036-9607 |
Second Address | Centerville Finance, OH 45459-4616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 08/07/2007 |