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Individual

STEPHEN EDDIE LOOKADOO JR.

Active
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Individual

STEPHEN EDDIE LOOKADOO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19129
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191296
—
SC
01
—
5335649
AETNA
SC
01
—
5626311
CIGNA
SC
01
—
57-1004971001
BCBS OF SC
SC
Enumeration date
06/18/2006
Last updated
08/21/2013
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