Individual
MANUEL LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
42 POPLAR RD, GROTON, CT 06340-3028
(619) 952-1520
Mailing address
42 POPLAR RD, GROTON, CT 06340-3028
(619) 952-1520
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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