Individual
MR. STEPHEN A STATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
4645 NORMAL BLVD, SUITE 132, LINCOLN, NE 68516
(402) 486-4828
(402) 486-4828
Mailing address
4645 NORMAL BLVD, SUITE 132, LINCOLN, NE 68506-5588
(402) 486-4828
(402) 486-4828
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081991
ABOC
—
Enumeration date
03/01/2011
Last updated
03/31/2016
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