Individual
MS. LANA P STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
406 W HOUSATONIC ST, PITTSFIELD, MA 01201-6647
(413) 770-7264
Mailing address
406 W HOUSATONIC ST, PITTSFIELD, MA 01201-6647
(413) 770-7264
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1012
MA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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