MEDICARE: JOHN FRANCIS LOZOWSKI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS006638L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	597586	OTHER	PA	MEDICARE GROUP
4	080171239	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0299222000	OTHER	PA	INDEPENDENCE BLUE CROSS
5	4353164	OTHER	PA	AETNA PPO
6	897955	OTHER	PA	HIGHMARK BLUE SHIELD
7	10511	OTHER	PA	BRAVO HEALTH
8	2598226	OTHER	PA	AETNA HMO
9	30008811	OTHER	PA	KEYSTONE MERCY HEALTH

General Provider Information

NPI Number	:	1063496297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN FRANCIS LOZOWSKI DO

Provider Business Mailing Address
First Line	:	PO BOX 820933
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19182-0933
Country	:	US
Telephone Number	:	215-425-3981
Fax Number	:	215-425-8083

Provider Business Practice Location Address
First Line	:	2923 E THOMPSON ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19134-4812
Country	:	US
Telephone Number	:	215-425-3981
Fax Number	:	215-425-8083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	12/04/2013

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