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Individual

MANUEL JAMES LOZADA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 470-5500
Mailing address
3045 MARINA BAY DR APT 11108, LEAGUE CITY, TX 77573-2779
(814) 659-5481

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
325166
LA
207L00000X
Anesthesiology Physician
BP10047099
TX
207L00000X
Anesthesiology Physician
DO3435
TN
207L00000X
Anesthesiology Physician
T4205
TX
207L00000X
Anesthesiology Physician
Primary
TEM-COV19-29474
IL

Other

Enumeration date
05/31/2013
Last updated
12/01/2021
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