Individual
DR. LAUREN ELIZABETH STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
140 STONERIDGE DR, SUITE 200, RUCKERSVILLE, VA 22968-3096
(317) 379-0550
Mailing address
140 STONERIDGE DR, SUITE 200, RUCKERSVILLE, VA 22968-3096
(317) 379-0550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413528
VA
122300000X
Dentist
6572-015
WI
Other
Enumeration date
07/19/2010
Last updated
07/31/2012
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