Individual
LAUREN MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
126 MARKET WAY, MT. POCONO, PA 18344-3842
(570) 839-3633
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055962
PA
363AM0700X
Medical Physician Assistant
MA055962
PA
Other
Enumeration date
01/31/2013
Last updated
08/20/2020
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