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Individual

ANDREW STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO, MSOP

Contact information

Practice address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3429
Mailing address
200 LODGE DR APT 1207, LAFAYETTE, LA 70506-2876
(616) 970-3749

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03923
224P00000X
Prosthetist
Primary
CPO03923

Other

Enumeration date
07/27/2023
Last updated
07/27/2023
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