Individual
DR. LAUREN KNOTT STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
920 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3748
(410) 939-2200
(410) 939-5980
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6981-1
NY
152W00000X
Optometrist
OP1000197
DC
152W00000X
Optometrist
Primary
TA1964
MD
Other
Enumeration date
06/25/2007
Last updated
01/31/2018
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