Individual
DR. JEFFREY WILLIAM LOZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3360 I 75 BUSINESS SPUR, SAULT SAINTE MARIE, MI 49783-3605
(906) 623-7258
(906) 635-0581
Mailing address
3360 I 75 BUSINESS SPUR, SAULT SAINTE MARIE, MI 49783-3605
(906) 623-7258
(906) 635-0581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901-002917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382430702
VSP SAULT VISION CLINIC
MI
05
—
5106263
—
MI
01
—
900A77777
BCBS SAULT VISION CLINIC
MI
Enumeration date
07/27/2006
Last updated
06/29/2010
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