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Individual
DR. STEPHANIE MARIE LOZANO
Active
Individual
DR. STEPHANIE MARIE LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8187T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00646N
MEDICARE GROUP NUMBER
TX
Enumeration date
06/20/2013
Last updated
10/18/2018
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