Individual
STEPHEN LODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 CODDLE MARKET DR NW, STE 100, CONCORD, NC 28027-2432
(980) 302-9100
(980) 302-9110
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9800611
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1138J
BCBS
NC
05
—
1548236680
—
NC
01
—
17871
WELLPATH
NC
01
—
24246
PARTNERS MEDICARE CHOICE
NC
01
—
561706219
PRACTICE TAX ID
NC
01
—
5723622
AETNA
NC
01
—
79932
MEDCOST
NC
05
—
891138J
—
NC
01
—
896409
MAMSI
NC
Enumeration date
02/28/2006
Last updated
10/25/2020
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