Provider Demographics
NPI:1093891566
Name:LOSTETTER, SCOTT C (DO)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:LOSTETTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:252 RURAL ACRES DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3503
Mailing Address - Country:US
Mailing Address - Phone:304-253-2628
Mailing Address - Fax:304-252-1720
Practice Address - Street 1:200 RALEIGH AVE
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-0002
Practice Address - Country:US
Practice Address - Phone:304-252-8541
Practice Address - Fax:304-253-2507
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WVWV1748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine