Individual
LYLE ROBERT STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 CYPRESS ST, SULPHUR, LA 70663-5052
(337) 527-6371
Mailing address
600 CYPRESS ST, SULPHUR, LA 70663-5052
(337) 527-6371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.205465
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2011
Last updated
08/12/2025
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