Individual
MICHELL MAROLA LOZANO CHINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8133
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
R-12014
IA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
11248425-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
TRN23261
FL
Other
Enumeration date
06/28/2016
Last updated
03/08/2021
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