Individual
ISIS JUDITH LOZANO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W BRUCE ST, MILWAUKEE, WI 53204-1667
(414) 384-1400
(414) 672-7012
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16119
WI
363LF0000X
Family Nurse Practitioner
AP61104176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100295429
—
WI
Enumeration date
10/30/2020
Last updated
01/07/2025
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