Healthcare Provider Details

I. General information

NPI: 1043148828
Provider Name (Legal Business Name): JUNE LEE STONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 GRANDSTONE CT
LEBANON OH
45036-8465
US

IV. Provider business mailing address

903 GRANDSTONE CT
LEBANON OH
45036-8465
US

V. Phone/Fax

Practice location:
  • Phone: 513-502-2155
  • Fax:
Mailing address:
  • Phone: 513-502-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0042502
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: