Provider Demographics
NPI:1932267440
Name:STONER, LISA ONUFRAK (DDS,MS, PA)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ONUFRAK
Last Name:STONER
Suffix:
Gender:F
Credentials:DDS,MS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 9TH ST
Mailing Address - Street 2:SUITE 280
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4149
Mailing Address - Country:US
Mailing Address - Phone:919-286-9090
Mailing Address - Fax:919-286-1822
Practice Address - Street 1:811 9TH ST
Practice Address - Street 2:SUITE 280
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4149
Practice Address - Country:US
Practice Address - Phone:919-286-9090
Practice Address - Fax:919-286-1822
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC67781223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89902VKMedicaid