| Lee Stevens Md A Professional Medical Corporation | |
|
1002 Highland Ave Ste 300 Shreveport LA 71101-4143 | |
| (318) 221-8525 | |
| (318) 221-8526 |
| Full Name | Lee Stevens Md A Professional Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1002 Highland Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Lee Stevens (PRESIDENT) |
| Authorized Official Contact | 3182218525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Stevens Md A Professional Medical Corporation 1002 Highland Ave Ste 300 Shreveport LA 71101-4143 Ph: (318) 221-8525 | Lee Stevens Md A Professional Medical Corporation 1002 Highland Ave Ste 300 Shreveport LA 71101-4143 Ph: (318) 221-8525 |
| NPI Number | 1700188810 |
|---|---|
| Provider Enumeration Date | 11/22/2010 |
| Last Update Date | 11/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700188810 | NPI | - | NPPES |
| 1980706 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10160R (Louisiana) | Primary |
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