Individual
MIKAYLA JANELLE LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N CHURCH ST, LODI, CA 95240-2105
(209) 747-7932
Mailing address
40 GRAND FIR DR, LODI, CA 95242-8329
(209) 747-7932
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
631403
CA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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