Provider Demographics
NPI:1144115114
Name:DEATON, STEPHEN PAUL (LPO)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:PAUL
Last Name:DEATON
Suffix:
Gender:M
Credentials:LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 TATES CREEK RD APT 4907
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3185
Mailing Address - Country:US
Mailing Address - Phone:859-440-7828
Mailing Address - Fax:
Practice Address - Street 1:4030 TATES CREEK RD APT 4907
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-3185
Practice Address - Country:US
Practice Address - Phone:859-440-7828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1357991744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Multi-Specialty