Healthcare Provider Details

I. General information

NPI: 1619840329
Provider Name (Legal Business Name): STEPHANIE LOZANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 S 400 E APT 12
CEDAR CITY UT
84720-3473
US

IV. Provider business mailing address

334 S 400 E APT 12
CEDAR CITY UT
84720-3473
US

V. Phone/Fax

Practice location:
  • Phone: 435-708-1910
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: