Organization
LEE STEVENS MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE STEVENS MD (PRESIDENT)
(318) 221-8525
Entity
Organization
Contact information
Practice address
1002 HIGHLAND AVE, STE 300, SHREVEPORT, LA 71101-4143
(318) 221-8525
(318) 221-8526
Mailing address
1002 HIGHLAND AVE, STE 300, SHREVEPORT, LA 71101-4143
(318) 221-8525
(318) 221-8526
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10160R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980706
—
LA
Enumeration date
11/22/2010
Last updated
11/22/2010
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