Individual
LIANNA STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
620 WALTON DR, FARMINGTON, MO 63640-1935
(573) 756-0500
(573) 756-0505
Mailing address
620 WALTON DR, FARMINGTON, MO 63640-1935
(573) 756-0500
(573) 756-0505
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2022009349
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022009349
LICENSE
MO
Enumeration date
03/17/2022
Last updated
03/17/2022
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