| Mrs Stacie Marie Hogan, BSN, IBCLC | |
| 
					3142 Brambleton Ave, Roanoke, VA 24018-3727  | |
| (540) 200-8662 | |
| Not Available | 
| Full Name | Mrs Stacie Marie Hogan | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse - Lactation Consultant | 
| Location | 3142 Brambleton Ave, Roanoke, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003514696 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WL0100X | Registered Nurse - Lactation Consultant | L-309498 (Virginia) | Secondary | 
| 163WL0100X | Registered Nurse - Lactation Consultant | L-309398 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Stacie Marie Hogan, BSN, IBCLC 5416 Setter Rd, Roanoke, VA 24012-8548 Ph: (540) 915-8400  | Mrs Stacie Marie Hogan, BSN, IBCLC 3142 Brambleton Ave, Roanoke, VA 24018-3727 Ph: (540) 200-8662  | 
Jessica Hallam, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-982-8201 Fax: 540-224-1059  | |
Julie Anne Snyder Amoroso,  Registered Nurse Medicare: Medicare Enrolled Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-985-8505 Fax: 540-344-3313  | |
Isabel Ann Tumminello, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 102 Highland Ave Se Ste 303, Roanoke, VA 24013 Phone: 540-985-9715  | |
Timothy Kostura, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000  | |
Amy Irene Lucas, MSN, RN, CCNS, CCRNK Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se Ofc, 8w Cns Office, Roanoke, VA 24014 Phone: 540-224-2515  | |
Robert Knowles, M.D. Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 101 Elm Ave Se, Roanoke, VA 24013 Phone: 540-224-4325 Fax: 540-224-4399  |