Individual
STEPHEN LODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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