Individual
LARA L STELLWAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
425 E 1ST ST, BLOOMSBURG, PA 17815-1480
(570) 387-2474
(570) 387-2397
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
25ME00065100
NJ
367A00000X
Advanced Practice Midwife
25ME00065101
NJ
367A00000X
Advanced Practice Midwife
Primary
MW010665
PA
Other
Enumeration date
06/04/2018
Last updated
03/03/2022
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