Individual
STEPHEN E. LOBKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN275007L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
040904
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03224101
CAPITAL ADVANTAGE
PA
05
—
1027796280001
—
PA
01
—
11776581
CAQH
PA
01
—
1344485
KHP CENTRAL
PA
01
—
1344486
HIGHMARK
PA
01
—
1546056
GATEWAY
PA
01
—
2037051000
INDEP. BLUE CROSS
PA
01
—
82860
GEISINGER
PA
01
—
9491449
AETNA
PA
Enumeration date
10/04/2005
Last updated
03/25/2013
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