| Doctor Name: | MRS. YANITT GRISEL LOZADA PEREZ |
| NPI Number: | 1639105661 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 16,052 |
| Business Practice Address: | 204 E Palmetto St Wauchula, FL - 338732732 |
| Business Phone Number: | 8637732111 |
| Business Fax Number: | 8637733429 |
| Mailing Address: | 5061 Cambry Ln, LAKELAND |
| State: | FL |
| Postal Code: | 338057554 |
| Phone Number: | 8638029107 |
| Fax Number: | 8638029107 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 02/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16,052 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |