Individual
DR. STEPHEN LOWELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 LESSAY, NEWPORT COAST, CA 92657-1025
(904) 315-5505
Mailing address
39 LESSAY, NEWPORT COAST, CA 92657-1025
(904) 315-5505
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G52278
CA
208600000X
Surgery Physician
ME61688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14611
BLUECROSS/BLUESHIELD
FL
01
—
266978
AVMED
FL
01
—
3646090
CIGNA
—
01
—
4043095
AETNA
FL
05
—
823712756A
—
GA
01
—
P00676831
RAILROAD MEDICARE
FL
Enumeration date
10/18/2005
Last updated
06/10/2022
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