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Individual
STACY A LOBODZINSKI
Active
Individual
STACY A LOBODZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71001400
IN
363LF0000X
Family Nurse Practitioner
Primary
71001400A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000668467
ANTHEM PTAN
IN
01
—
000001067786
ANTHEM PTAN
IN
01
—
000001258280
ANTHEM PTAN
IN
01
—
000001314774
ANTHEM PTAN
IN
01
—
000001414272
ANTHEM PTAN
IN
05
—
200880160
—
IN
Enumeration date
07/30/2007
Last updated
02/13/2025
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