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Individual
DR. LARRY DON STEWART
Active
Individual
DR. LARRY DON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10908
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112755
—
LA
01
—
180011359
RAILROAD MEDICARE
LA
01
—
5658171
AETNA
LA
01
—
720680677014
CIGNA
LA
Enumeration date
11/16/2005
Last updated
05/26/2020
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