Individual
LOURDES BERNARDETE LOZANO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 W SPRUCE ST STE 100, TAMPA, FL 33607-2346
(813) 636-8811
(813) 636-8855
Mailing address
4107 W SPRUCE ST STE 100, TAMPA, FL 33607-2346
(813) 636-8811
(813) 636-8855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WG0000X
General Practice Registered Nurse
RN9551104
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN1102786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119788600
—
FL
Enumeration date
04/25/2023
Last updated
04/16/2026
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