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Individual

JAY F LOZADA

Active
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Individual

JAY F LOZADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.007802
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000301941
OHO MEDICAID UNISOURCE
OH
01
000000658779
ANTHEM
01
0309027
CIGNA
01
10031001
BWC
WV
01
3041824
OH MEDICAID MOLINA
OH
05
3041827
OH
01
310917085167
OH MEDICAID CARESOURCE
OH
05
3810017531
WV
01
P00841139
RR MEDICARE
OH
Enumeration date
05/07/2010
Last updated
02/18/2014
Update your record

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