Provider Demographics
NPI:1194951293
Name:STOKES, STACI M (LMT)
Entity type:Individual
Prefix:
First Name:STACI
Middle Name:M
Last Name:STOKES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 S. FRASER ST.
Mailing Address - Street 2:UNIT 5
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4534
Mailing Address - Country:US
Mailing Address - Phone:303-695-1609
Mailing Address - Fax:303-695-0382
Practice Address - Street 1:2226 S. FRASER ST.
Practice Address - Street 2:UNIT 5
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4534
Practice Address - Country:US
Practice Address - Phone:303-695-1609
Practice Address - Fax:303-695-0382
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5237174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist