Lopasteeda Derosa Stephens
NPI #1700069200 in Mc Minnville, Tennessee
Provider Information
- NPI Number
- 1700069200
- Entity Type
- Organization
- Organization Name
- Lopasteeda Derosa Stephens
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 7, 2007
- Last Updated
- Dec 7, 2007
Practice Location
- Address
- 1035 SMITHVILLE HWY
- City
- Mc Minnville
- State
- Tennessee
- ZIP Code
- 37110-1691
- Phone
- (931) 473-6865
Authorized Official
- Name
- LOPASTEEDA DEROSA STEPHENS
- Title
- OWNER
- Phone
- (931) 473-6865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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