LISA D. STAGNER D.O. NPI 1184792616

NPI Information

NPI: 1184792616
Provider Name: LISA D. STAGNER, D.O.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
HENRY FORD HEALTH SYSTEM
2799 WEST GRAND BOULEVARD
DETROIT, MI
ZIP 48202
Phone: (313) 916-2421
Get Directions

Lisa D. Stagner, D.O. is a pulmonary disease internal medicine in Detroit, MI with 31 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Lisa D. Stagner, D.O. NPI is 1184792616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1993

The provider's business location address is:

HENRY FORD HEALTH SYSTEM
2799 WEST GRAND BOULEVARD
DETROIT, MI
ZIP 48202
Phone: (313) 916-2421
Fax: (313) 916-9102

The NPI 1184792616 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 10/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		5101012063	MICHIGAN	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	5101012063	MICHIGAN	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	5101012063	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LS012063	OTHER		CHAMPUS-CHAMPUS
2	290H264420	OTHER		BLUE CROSS-BLUE CROSS
3	0H26442027	MEDICARE ID-TYPE UNSPECIFIED
4	336313611	MEDICAID	MICHIGAN
5	LS012063	OTHER		COMMERCIAL-COMMERCIAL NUMBER
6	G48632	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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