1457507659

Everything you always wanted to know about PRO L STEPHAN M.D. but were afraid to ask.

PRO L STEPHAN M.D.

You can also download the this 1457507659 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
PRO L STEPHAN M.D.
Gender:
Male
Enumeration date:
2008-08-07
Last update date:
2017-03-19
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
204E00000X Oral & Maxillofacial Surgery KS 04-35024

Phone Numbers

Type Number
Mailing Address Telephone Number 7858439125
Practice Location Address Telephone Number 7858439125
Practice Location Address Fax Number 7858436973
Mailing Address Fax Number 7858433176

Addresses

Type Address City State Postal Country
Mailing Address 1112 W 6TH ST SUITE 124 LAWRENCE KS 66044 KS
Practice Location Address 1112 W 6TH ST STE 124 LAWRENCE KS 66044 KS

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1982017182 TODD, KIMBERLY
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NPI Name Address State City
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1112 W 6TH ST KS LAWRENCE
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1112 W 6TH ST KS LAWRENCE
1154364958 DANIELS, RENEE
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1112 W 6TH ST KS LAWRENCE
1164461067 HOSKINSON, SARAH
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1112 W 6TH ST KS LAWRENCE
1164822003 BONNEL, DEVA
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1112 W 6TH ST KS LAWRENCE
1205875788 ORTH, GREGORY
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1112 W 6TH ST KS LAWRENCE
1225096670 BLANTON-BIRZER, MONICA
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1112 W 6TH ST KS LAWRENCE
1235109364 REUSSNER, LEE
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1112 W 6TH ST KS LAWRENCE
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1112 W 6TH ST KS LAWRENCE
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Organization
1112 W 6TH ST KS LAWRENCE
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1112 W 6TH ST KS LAWRENCE
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1326065111 LEAVELL, ADAM
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1386718757 STARCEVICH, JAMIE
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1487604211 ROWE, LORRAINE
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1112 W 6TH ST KS LAWRENCE
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1112 W 6TH ST KS LAWRENCE
1528094919 RYAN, CAROL
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1112 W 6TH ST KS LAWRENCE
1578502019 LANGE, MARY
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1112 W 6TH ST KS LAWRENCE
1578533162 DINSDALE, ROBERT
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1112 W 6TH ST KS LAWRENCE
1578662193 CANNADY, JENNIFER
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1112 W 6TH ST KS LAWRENCE
1588975130 MULHERN, MICHAEL
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1598915217 MARTINEZ, LEONEL
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