Provider Demographics
NPI:1245433234
Name:STEHR, SEAN CHRISTIAN (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:CHRISTIAN
Last Name:STEHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13458
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-3458
Mailing Address - Country:US
Mailing Address - Phone:318-441-1111
Mailing Address - Fax:318-441-2252
Practice Address - Street 1:3311 PRESCOTT RD
Practice Address - Street 2:SUITE 311
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3900
Practice Address - Country:US
Practice Address - Phone:318-441-1111
Practice Address - Fax:318-441-2252
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.204312174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist