Healthcare Provider Details

I. General information

NPI: 1174569032
Provider Name (Legal Business Name): CAROL S LOZIER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7906 NEW LAGRANGE RD
LOUISVILLE KY
40222-4718
US

IV. Provider business mailing address

7906 NEW LAGRANGE RD
LOUISVILLE KY
40222-4718
US

V. Phone/Fax

Practice location:
  • Phone: 502-426-0550
  • Fax: 502-290-9363
Mailing address:
  • Phone: 502-426-0550
  • Fax: 502-290-9363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0780
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: