Provider Demographics
NPI:1205816220
Name:MORRAN, STACY L (MD)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:L
Last Name:MORRAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:CCP, LLC, DBA HAND IN HAND PEDIATRICS
Mailing Address - Street 2:6051 MEMORIAL DRIVE
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017
Mailing Address - Country:US
Mailing Address - Phone:614-799-6044
Mailing Address - Fax:614-799-6088
Practice Address - Street 1:CCP, LLC, DBA HAND IN HAND PEDIATRICS
Practice Address - Street 2:6051 MEMORIAL DRIVE
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-799-6044
Practice Address - Fax:614-799-6088
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2019-12-06
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Provider Licenses
StateLicense IDTaxonomies
OH35077588M208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2447589Medicaid