Individual
LAURIE STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
DERMATOLOGY, 3333 BURNET AVE., MLC 3004, CINCINNATI, OH 45229-3026
(513) 636-4215
(513) 636-5867
Mailing address
DERMATOLOGY, 3333 BURNET AVE., MLC 3004, CINCINNATI, OH 45229-3026
(513) 636-4215
(513) 636-5867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.02554
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
227110
OH
Other
Enumeration date
05/22/2008
Last updated
08/29/2019
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