Individual provider · Type 1 NPI

Lara Stephens, PA-C

Surgical Physician Assistant · Patchogue, NY

NPI number 1043191471 Active

Practice location

101 Hospital Rd
Patchogue, NY 11772-4870

Mailing address

35 Saint Thomas Pl
Malverne, NY 11565-1437

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X034437 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1043191471

Lara Stephens, PA-C's National Provider Identifier is 1043191471, issued on Sep 11, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Patchogue, NY. The record was last updated on Sep 11, 2025.