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Individual
LACEE STEPHENS
Active
Individual
LACEE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.12631-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077523
—
OH
01
—
H067511
MEDICARE
OH
01
—
H067512
MEDICARE
OH
Enumeration date
09/06/2011
Last updated
08/31/2026
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