Stephens, Lisa B

Stephens, Lisa B is an individual health care provider with primary practice located at 150 Frankfort Rd Ste 101 , Shelbyville KY 40065-7401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Stephens, Lisa B can be contacted via phone (502) 647-5468.

Contact Information

Primary practice address
150 Frankfort Rd Ste 101 Shelbyville KY 40065-7401
Fax: (502) 647-7134
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 40028 Kentucky

Profile Details

NPI number 1982793956
LBN Legal business name Stephens, Lisa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982793956 NPPES
Indiana MEDICAID 300058644
Indiana MEDICAID 64124647
Indiana Other K140371

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