Individual
MS. LYN M STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 SE PIUTE WAY, LAKE CITY, FL 32025-3935
(386) 984-6759
Mailing address
395 SE PIUTE WAY, LAKE CITY, FL 32025-3935
(386) 984-6759
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
685257298 MCD
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685257298 MCD
—
FL
Enumeration date
01/16/2011
Last updated
01/16/2011
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