Individual
MR. LONNIE STETHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F332314
NY
363L00000X
Nurse Practitioner
Primary
UP005514B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01799839
—
NY
01
—
500013367
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039851
PA MEDICARE GROUP
PA
Enumeration date
02/21/2006
Last updated
09/16/2011
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