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Individual

DR. JAMES VINCENT LOZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
4243 56TH ST SW, WYOMING, MI 49418-9352
(616) 532-1078
(616) 532-1966
Mailing address
PO BOX 116, GRANDVILLE, MI 49468-0116
(616) 532-1078
(616) 532-1966

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301004002
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0D145790
BCBS
MI
Enumeration date
06/27/2006
Last updated
09/14/2009
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