Individual
STEPHEN STREATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN UNIVERSITY, LOCK HAVEN, PA 17745-2342
(570) 893-2294
Mailing address
401 N FAIRVIEW ST, LOCK HAVEN UNIVERSITY, LOCK HAVEN, PA 17745-2342
(570) 893-2294
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
RT001556A
PA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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