Individual
STEPHEN JOHN LOSTETTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-9345
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-9345
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2000 00879
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200000879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126PM
BLUE CROSS BLUE SHIELD
—
01
—
16 46194
UNITED HEALTH CARE
—
01
—
2353103
AETNA HMO
—
01
—
300110412
RAILROAD MEDICARE
—
01
—
36110
PARTNERS
—
01
—
7360177
AETNA PPO
—
05
—
89126PM
—
NC
01
—
98499
MEDCOST
—
05
—
N00870
—
SC
Enumeration date
12/05/2005
Last updated
02/07/2025
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