Provider Demographics
NPI:1700223187
Name:REEDER, STACY LYNN (STACY L REEDER DVM)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:LYNN
Last Name:REEDER
Suffix:
Gender:F
Credentials:STACY L REEDER DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 PETROS DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-9627
Mailing Address - Country:US
Mailing Address - Phone:540-480-6133
Mailing Address - Fax:
Practice Address - Street 1:1009 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-4310
Practice Address - Country:US
Practice Address - Phone:540-943-3081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-26
Last Update Date:2013-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0301006743174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian