| Lars Stephenson, AGNP | |
|
200 Swinburne Street, Raleigh, NC 27610 | |
| (919) 250-1120 | |
| Not Available |
| Full Name | Lars Stephenson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 200 Swinburne Street, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639805617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 5016630 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Health Services Inc | 3476462102 | 38 |
| County Of Wake | 6305759952 | 21 |
| Entity Name | University of North Carolina at Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | County of Wake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295761617 PECOS PAC ID: 6305759952 Enrollment ID: O20031110000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Lars Stephenson, AGNP 200 Swinburne Street, Raleigh, NC 27610 Ph: (919) 250-1120 | Lars Stephenson, AGNP 200 Swinburne Street, Raleigh, NC 27610 Ph: (919) 250-1120 |
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