Individual
DR. JONATHAN LEONID LOZEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9402
(919) 734-1866
(919) 736-5304
Mailing address
2700 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9402
(919) 734-1866
(919) 736-5304
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2006-00451
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2006-00451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1540C
BCBS
NC
05
—
5913370
—
NC
01
—
D00825650
MEDICARE RAILROAD
NC
Enumeration date
03/22/2007
Last updated
03/30/2021
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