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Individual
STEPHANIE LEE LOZANO
Active
Individual
STEPHANIE LEE LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407107501
—
NC
05
—
1506PA
—
SC
01
—
1733P
BCBSNC
NC
01
—
4812523
AETNA
—
Enumeration date
09/28/2012
Last updated
06/19/2024
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