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1083992556
MARK LANE STEPHENS
MONROE, LA
NPI
1083992556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA RN089763-AP06597)
Enumeration Date
2011-08-01
Last Update Date
2019-06-13
Business Address
MARK LANE STEPHENS FNP-C
920 OLIVER RD
MONROE, LA 71201-5702
Phone number: 318-807-4713
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Mailing Address
MARK LANE STEPHENS FNP-C
130 DESIARD ST SUITE 355
MONROE, LA 71201-7319
Phone number: 318-807-7875
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