Individual
LILIA ISABEL STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1921 W 26TH ST, SAN PEDRO, CA 90732-4613
(310) 833-4661
Mailing address
1921 W 26TH ST, SAN PEDRO, CA 90732-4613
(310) 833-4661
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
468795
CA
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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