MEDICARE: LOSSIO PEDIATRICS, PLLC

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1902242985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOSSIO PEDIATRICS, PLLC

Provider Business Mailing Address
First Line	:	1701 LAKE LANSING RD
Second Line	:	SUITE 100
City	:	LANSING
State	:	MI
Zip	:	48912-3798
Country	:	US
Telephone Number	:	517-485-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 E WARWICK DR
Second Line	:	SUITE D
City	:	ALMA
State	:	MI
Zip	:	48801-1026
Country	:	US
Telephone Number	:	989-462-0048
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCISCO LOSSIO
Credential	:	MD
Telephone Number	:	989-462-0048

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	05/16/2013

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