Individual
G LORRAINE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 672-3309
(513) 672-3323
Mailing address
200 NORTHLAND BLVD 1ST FLOOR, CINCINNATI, OH 45246-3604
(513) 672-4128
(513) 672-4479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0621367
—
OH
Enumeration date
10/27/2005
Last updated
12/18/2007
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