Healthcare Provider Details

I. General information

NPI: 1316061450
Provider Name (Legal Business Name): JOHN SARGENT LOZIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

330 LAUREL ST SUITE 2200
DES MOINES IA
50314-3034
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-5795
  • Fax:
Mailing address:
  • Phone: 515-288-1097
  • Fax: 515-288-2847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301083481
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301083481
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number37114
License Number StateIA
# 4
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number35.134616
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: