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NPI Code Detail

MEDICARE: LAURA ELIZABETH STEMPIEN LBS

MEDICARE: LAURA ELIZABETH STEMPIEN LBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBH004773PA

General Provider Information

NPI Number : 1861024291
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ELIZABETH STEMPIEN LBS
Provider Business Mailing Address
First Line : 916 BROADWAY RD
Second Line :
City : SHICKSHINNY
State : PA
Zip : 18655-3846
Country : US
Telephone Number : 570-262-5530
Fax Number :
Provider Business Practice Location Address
First Line : 1003 WYOMING AVE
Second Line :
City : FORTY FORT
State : PA
Zip : 18704-4002
Country : US
Telephone Number : 570-846-0455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2020
Last Update Date : 02/04/2020

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