Individual
BRUCE H. LOBITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
732 SOUTHLAKE RD, COLUMBIA, SC 29223-6819
(803) 419-5142
Mailing address
732 SOUTHLAKE RD, COLUMBIA, SC 29223-6819
(803) 419-5142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18020
SC
207P00000X
Emergency Medicine Physician
200200137
NC
207P00000X
Emergency Medicine Physician
MD020881
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1914398
—
LA
01
—
G6438
BLUECROSS BLUESHIELD
LA
Enumeration date
01/16/2006
Last updated
03/08/2024
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