Individual
MR. LUIS A SOSA LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
56949
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065655
—
WI
05
—
1225269285
—
WI
Enumeration date
08/06/2009
Last updated
09/12/2025
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