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Individual
STEVE LOSTRACCO
Active
Individual
STEVE LOSTRACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
232302
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
232302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130097204
—
TX
01
—
430044074
UNSPECIFIED RAILROAD MEDICARE
TX
01
—
8672UA
BCBS
TX
Enumeration date
06/25/2006
Last updated
07/21/2011
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