Individual
LARA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(315) 630-2161
Mailing address
35 SAINT THOMAS PL, MALVERNE, NY 11565-1437
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
034437
NY
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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