Individual
MISS LAURA LEA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2700 VINE ST, EL DORADO, AR 71730-6700
(870) 862-1144
(870) 864-0782
Mailing address
2700 VINE ST, EL DORADO, AR 71730-6700
(870) 862-1144
(870) 864-0782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR1639
AR
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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