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NPI Code Detail

MEDICARE: ROY JIMMY LOZANO DC

MEDICARE:   ROY JIMMY LOZANO  DC
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
1111N00000XChiropractor510HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21042629OTHERASH
300A0078798OTHERHIHMSA

General Provider Information

NPI Number : 1588684898
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY JIMMY LOZANO DC
Provider Business Mailing Address
First Line : PO BOX 1048
Second Line :
City : PAHOA
State : HI
Zip : 96778
Country : US
Telephone Number : 808-965-6623
Fax Number : 808-965-6633
Provider Business Practice Location Address
First Line : 15-2891 GOVERNMENT MAIN RD
Second Line : 2ND FLOOR
City : PAHOA
State : HI
Zip : 96778
Country : US
Telephone Number : 808-965-6623
Fax Number : 808-965-6633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 10/10/2007

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Directions to “ ROY JIMMY LOZANO DC” Practice Location

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