Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy M Stark, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1609981968

Stacy M Stark, DO is a Physical Medicine & Rehabilitation Physician in Lebanon, Pennsylvania. Licensed in Pennsylvania and Tennessee. Registered with an NPI since 2006.

Licensed in
PA, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

115 Tanglewood Ct
Lebanon, PA 17042-9472
Phone: (484) 554-3827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence OS013789 (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence DO2565 (TN)

Record details

NPI number1609981968
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address115 Tanglewood Ct, Lebanon, PA 17042-9472

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