Individual
MARY ELIZABETH STABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1780 NICHOLASVILLE RD, LEXINGTON, KY 40503-1400
(859) 277-8179
(859) 277-9320
Mailing address
125 CHINOE RD, LEXINGTON, KY 40502-1959
(859) 277-8179
(859) 277-9320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34800
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64018203
—
KY
Enumeration date
08/09/2006
Last updated
07/08/2007
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