Individual
TAMIA MARIE LOZADA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2861 BROAD AVE, MEMPHIS, TN 38112-2903
(787) 658-0012
Mailing address
2861 BROAD AVE, MEMPHIS, TN 38112-2903
(787) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73444
TN
390200000X
Student in an Organized Health Care Education/Training Program
15367-I
PR
Other
Enumeration date
06/09/2020
Last updated
07/18/2025
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