Provider Demographics
NPI:1386940740
Name:STARK, ELIZABETH MCLANAHAN (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MCLANAHAN
Last Name:STARK
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 CORCORAN ST NW APT E
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3032
Mailing Address - Country:US
Mailing Address - Phone:559-681-1504
Mailing Address - Fax:
Practice Address - Street 1:2300 M ST NW
Practice Address - Street 2:SUITE 712
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1434
Practice Address - Country:US
Practice Address - Phone:202-677-6186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS