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Individual
STEPHEN CHARLES LOUGHRAN
Active
Individual
STEPHEN CHARLES LOUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
294345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
NPI - TYPE 2
—
05
—
1912919804
—
CA
01
—
500012160
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
—
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
—
W11996
MEDICARE PTAN - TYPE 2
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
Enumeration date
03/16/2006
Last updated
07/21/2022
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