1831427020 NPI number — LYNETTE MARIE LOZANO M.S. OTR/L

NPI Number: 1831427020
Health Care Provider/Practitioner: LYNETTE MARIE LOZANO M.S. OTR/L

NPI Number : 1831427020 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831427020",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOZANO",
    "FirstName": "LYNETTE",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S. OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1230 JOHNSON FERRY PL",
    "SecondLineMailingAddress": "SUITE G-10",
    "MailingAddressCityName": "MARIETTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30068-2048",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-321-6705",
    "MailingAddressFaxNumber": "404-551-3891",
    "FirstLinePracticeLocationAddress": "1230 JOHNSON FERRY PL",
    "SecondLinePracticeLocationAddress": "SUITE G-10",
    "PracticeLocationAddressCityName": "MARIETTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30068-2048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-321-6705",
    "PracticeLocationAddressFaxNumber": "404-551-3891",
    "EnumerationDate": "11/25/2009",
    "LastUpdateDate": "09/09/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "056.008891",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT005725",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}