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Stephen Lentz Derryberry JR.
Student in an Organized Health Care Education/Training Program in Youngstown, Ohio
NPI 1588161814

Stephen Lentz Derryberry JR. is a Student in an Organized Health Care Education/Training Program based in Youngstown, OH. Stephen Lentz Derryberry JR. practices in Youngstown, OH. The NPI Number for Stephen Lentz Derryberry JR. is 1588161814 and holds a License No. (Ohio).

The current practice location address for Stephen Lentz Derryberry JR. is 1044 Belmont Ave Dept Of, Youngstown, OH and can be reached out via phone at 330-480-3124.

Location: 1044 Belmont Ave Dept Of, Youngstown, OH, 44504-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588161814
Provider Name
Stephen Lentz Derryberry JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1044 Belmont Ave Dept Of, Youngstown, OH, 44504-1006
Phone Number
330-480-3124
Fax Number
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1044 Belmont Ave Dept Of
City
Youngstown
State
Ohio
Zip
44504-1006
Phone Number
330-480-3124
Fax Number
person
Provider Business Mailing Address Details
Address
1044 Belmont Ave Dept Of
City
Youngstown
State
Ohio
Zip
44504-1006
Phone Number
330-480-3124
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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