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Individual

DAVID J LOZANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5565 MONTGOMERY HWY, DOTHAN, AL 36303-1552
(334) 793-1881
(334) 340-5918
Mailing address
126 CLINIC DR, DOTHAN, AL 36303-1980
(334) 793-1881
(334) 340-5918

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.24011
AL
2080P0214X
Pediatric Pulmonology Physician
Primary
MD.24011
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009961870
AL
01
1518915305
TRICARE SOUTH
AL
01
515-33484
BCBS
AL
01
515-48612
BCBS
AL
01
7690295
AETNA
AL
Enumeration date
05/04/2006
Last updated
05/14/2020
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