Individual
ROY JIMMY LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15-2891 GOVERNMENT MAIN RD, 2ND FLOOR, PAHOA, HI 96778
(808) 965-6623
(808) 965-6633
Mailing address
PO BOX 1048, PAHOA, HI 96778
(808) 965-6623
(808) 965-6633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
510
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0078798
HMSA
HI
01
—
1042629
ASH
—
05
—
545410
—
HI
Enumeration date
07/20/2006
Last updated
10/10/2007
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