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Individual

GEORGE WILLIAM LOZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
551 N HIGHWAY 27, WHITLEY CITY, KY 42653-4083
(606) 376-8020
(606) 376-8055
Mailing address
PO BOX 936, WHITLEY CITY, KY 42653-0936
(606) 376-8020
(606) 376-8055

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000953
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000543321
ANTHEM BC/BS
KY
01
1185497
CHA PROVIDER NUMBER
KY
05
7100014340
KY
01
P00422439
RAILROAD MEDICARE
KY
Enumeration date
10/05/2006
Last updated
08/24/2018
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