Individual
STEPHEN LAVANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SOUTHEAST HEALTH INTERNAL MEDICINE RESIDENCY PROGRAM, 1108 ROSS CLARK CIRCLE, SUITE 210, DOTHAN, AL 36302
(334) 712-3329
Mailing address
SOUTHEAST HEALTH INTERNAL MEDICINE RESIDENCY PROGRAM, 1108 ROSS CLARK CIRCLE, SUITE 210, DOTHAN, AL 36302
(334) 712-3329
(334) 305-0219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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