| Doctor Name: | MRS. LORENE L STEPHAN |
| NPI Number: | 1073511523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R.N.P. |
| License Number: | 146404 |
| Business Practice Address: | 1600 N Missouri Ave Marceline, MO - 646581012 |
| Business Phone Number: | 6603762038 |
| Business Fax Number: | 6603763011 |
| Mailing Address: | 1600 N Missouri, MARCELINE |
| State: | MO |
| Postal Code: | 64658 |
| Phone Number: | 6603762038 |
| Fax Number: | 6603763011 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 09/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 146404 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |