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Individual
LORNE SHANE STITSKY
Active
Individual
LORNE SHANE STITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0007755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49233
BCBS
FM
Enumeration date
01/19/2006
Last updated
02/06/2009
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