| Organization Name: | IVETTE C. LOZANO DBA LOZANO MEDICAL CLINIC |
| NPI Number: | 1639351828 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IVETTE CONCEPCION LOZANO (OWNER) |
| Mailing Address: | 10425 Garland Rd Dallas |
| State: | TX US |
| Postal Code: | 752182926 |
| Phone Number: | 2146601616 |
| Fax Number: | 2146601628 |
| NPI Enumeration Date: | 11/29/2007 |
| NPI Last Update Date: | 12/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J4310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |