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General NPI Number Information
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NPI Number | 1851514707
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Entity Type | Organization
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Legal Business Name | MICHAEL E LOZANO MD PA
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 21 SPURS LN
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1634
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Country | US
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Telephone | 210-393-5719
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29288
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City | SAN ANTONIO
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State | TX
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Zip | 78229-0288
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Country | US
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Telephone | 210-393-5719
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MICHAEL LOZANO
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Credential | M.D.
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Telephone | 210-393-5719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K1245
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License Number State | TX
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