Individual
LISA LYNN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
1212 BATH AVE, ASHLAND, KY 41101-2696
(606) 329-8588
(606) 329-8195
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/02/2015
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