Individual
DR. LEE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 GOULD DR STE 1, BOSSIER CITY, LA 71111-4971
(318) 422-7154
(850) 203-1448
Mailing address
PO BOX 5498, BOSSIER CITY, LA 71171-5498
(318) 422-7154
(850) 203-1488
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10120R
LA
2084P0800X
Psychiatry Physician
Primary
10160R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005742285990
CIGNA
—
01
—
109294201
TEXAS MEDICAID
TX
01
—
15-46377
UNITED BEHAVIORAL
—
05
—
1980706
—
LA
01
—
295065
TEXAS CHIP
TX
01
—
721351593001
HUMANA MILITARY
—
01
—
Z58612
BLUE CROSS OF MASS
MA
Enumeration date
07/03/2006
Last updated
09/28/2023
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