Individual
LLOYDACIA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
22 DEPOT HILL RD, SOUTHBURY, CT 06488-2258
(203) 262-1831
Mailing address
22 DEPOT HILL RD, SOUTHBURY, CT 06488-2258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4258
CT
363AM0700X
Medical Physician Assistant
4258
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4258
CT LICESNE
CT
Enumeration date
10/04/2018
Last updated
06/04/2025
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