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1194909697
LISA M STEPHENSON
HALFMOON, NY
NPI
1194909697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F335220-1)
Enumeration Date
2007-12-20
Last Update Date
2016-08-25
Business Address
Ms. LISA M STEPHENSON MS, FNP
1783 ROUTE 9 SUITE 202
HALFMOON, NY 12065-2409
Phone number: 518-383-2366
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Mailing Address
Ms. LISA M STEPHENSON MS, FNP
711 TROY SCHENECTADY RD SUITE 203
LATHAM, NY 12110-2442
Phone number: 518-782-3700
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