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MRS. LORENE L STEPHAN A.R.N.P.

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1073511523

Individual Registrant:
MRS. LORENE L STEPHAN A.R.N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1600 N MISSOURI AVE  MARCELINE, MO 64658-1012 US
Tel: 660-376-2038  Fax: 660-376-3011

Contact information for business:
1600 N MISSOURI  MARCELINE, MO 64658 US
Tel: 660-376-2038  Fax: 660-376-3011

Registration Information:
NPI: 1073511523
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MO146404
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
KS44805

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100358770FKS05




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