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Individual

SARA L STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2705 N LEBANON ST STE 405, LEBANON, IN 46052-8621
(765) 485-8444
(765) 485-8439
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02003453A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201007030
IN
Enumeration date
04/04/2006
Last updated
10/20/2023
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