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MAGGIE STEVENS LAWENTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1408 CAMPBELL DR STE S202, IRONTON, OH 45638-2301
(740) 533-9750
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
(304) 908-9202
(304) 399-2526

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03458
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000753605
ANTHEM BCBS
KY
05
0061164
OH
05
7100193100
KY
Enumeration date
09/21/2007
Last updated
04/22/2021
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