Individual
ELIZABETH STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR, IBCLC
Contact information
Practice address
1246 DATE ST, FAIRBORN, OH 45324-3614
(513) 704-3243
Mailing address
1246 DATE ST, FAIRBORN, OH 45324-3614
(513) 704-3243
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314116
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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