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Individual

LAURIE STEVENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
505 PARNASSUS AVE, M39-C BOX 6022, SAN FRANCISCO, CA 94143-2204
(415) 353-7053
Mailing address
239 BRANNAN ST UNIT 2G, SAN FRANCISCO, CA 94107-4070

Taxonomy

Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
65513
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65513
PHARMACIST LICENSE NUMBER
CA
Enumeration date
05/09/2014
Last updated
05/09/2014
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