Provider Demographics
NPI:1801478482
Name:LAMAN, STACY LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STACY
Middle Name:LYNN
Last Name:LAMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:THOMAS
Other - Last Name:LAMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 CAMERON HILL CIR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-9815
Mailing Address - Country:US
Mailing Address - Phone:423-535-5500
Mailing Address - Fax:
Practice Address - Street 1:1 CAMERON HILL CIR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-9815
Practice Address - Country:US
Practice Address - Phone:423-535-5500
Practice Address - Fax:423-535-5579
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN88241835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN8824OtherPHARMACY LICENSE
TN368981OtherNABP