Individual
DR. LORRAINE A STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4411 MONTGOMERY RD., SUITE 200, CINCINNATI, OH 45212-3144
(513) 977-6715
(513) 531-2624
Mailing address
P.O. BOX 633337, CINCINNATI, OH 45263-3337
(513) 977-6700
(513) 531-2624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35061963
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0876977
—
OH
Enumeration date
10/20/2006
Last updated
05/18/2012
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