Individual
DR. ROLANDO LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 W GRANADA BLVD, ORMOND BEACH, FL 32174-9435
(386) 673-2770
(386) 673-2760
Mailing address
1207 OAK FOREST DR, ORMOND BEACH, FL 32174-4021
(386) 673-2770
(386) 673-2760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA05878600
NJ
208000000X
Pediatrics Physician
Primary
ME97380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280831500
—
FL
05
—
6241417
—
NJ
Enumeration date
02/27/2006
Last updated
11/08/2012
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