Individual
STEPHANIE LOUISE LINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3670 PARKER BOULEVARD, PUEBLO MEDICAL OFFICE, PUEBLO, CO 81008
(719) 564-1981
Mailing address
16 BISHOPS CT, PUEBLO, CO 81005-1806
(719) 564-1981
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN40767
CO
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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