Lisa L Stevens PA

NPI 1033172283 - Physician Assistant - 363A00000X

NPI Details
NPI 1033172283
Gender Female
Enumeration Date 04/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
111 GATEWAY CENTER DR
KERNERSVILLE NC, 27284-2999, US
Phone (336) 996-2173
Fax
Business Location
2000 FRONTIS PLAZA BLVD STE 200
ATTN FORSYTH MEDICAL GROUP
WINSTON SALEM NC, 27103-5616, US
Phone (336) 277-2436
Fax
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 101938
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According to our database, Lisa L Stevens PA NPI is 1033172283, taxonomy code is 363A00000X and license number is 101938, license state is located at North Carolina. Lisa L Stevens PA physically located at 111 Gateway Center Dr, Kernersville NC, 27284-2999. NPI Number Lisa L Stevens PA has the Individual type.

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1033172283 NPI number is provided on an as is basis without warranty of any kind. 1033172283 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa L Stevens PA are for informational purposes only.