| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LYNN ANN STEBBINS | 1275121774 | 2021-01-10 |
| Entity Type | Individual |
| Provider Name | Mrs. Lynn Ann Stebbins RN |
| Practice Office Address | 2540 E CLAY CT BLOOMINGTON, IN US |
| Practice Office Telephone | 8123271043 |
| Mailing Address | 2540 E CLAY CT BLOOMINGTON, IN 474014792 US |
| Business Telephone | 8123271043 |
| Code | License No | State |
|---|---|---|
| 163W00000X PRIMARY | 28106612A | IN |