Individual
LAUREL STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 SOUTHPOINT LN, WALLA WALLA, WA 99362-4175
(509) 525-3720
(509) 525-4691
Mailing address
19 SOUTHPOINT LN, WALLA WALLA, WA 99362-4175
(509) 525-3720
(509) 525-4691
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
131351
CA
207N00000X
Dermatology Physician
MD61083925
WA
Other
Enumeration date
05/12/2010
Last updated
01/11/2022
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