Individual
CARLOS DAVID LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 W MAIN ST, RUSSELLVILLE, AR 72801-2725
(479) 968-1198
(479) 967-1178
Mailing address
2911 LONGVIEW DR STE B, JONESBORO, AR 72401-5902
(870) 336-0238
(870) 336-0239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4978
AR
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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