MEDICARE: DR. JASON GENE LOZANO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZF0201X	Forensic Pathology Physician	18537	SD

General Provider Information

NPI Number	:	1861653487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON GENE LOZANO M.D.

Provider Business Mailing Address
First Line	:	945 MCKINNEY ST # 10399
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-6308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2805 5TH ST STE 210A
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-7330
Country	:	US
Telephone Number	:	605-343-2267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	06/14/2026

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