Individual
LISA R STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 DICKINSON RD, CHESTERTON, IN 46304
(219) 926-7755
(219) 929-1885
Mailing address
650 DICKINSON RD, CHESTERTON, IN 46304-3387
(219) 926-7755
(219) 929-1885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28160803A
IN
Other
Enumeration date
06/06/2012
Last updated
09/11/2018
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