Organization
CLINICAL CYTOGENETIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN B LOZZIO MD (SOLE PROPRIETOR)
(865) 305-6505
Entity
Organization
Contact information
Practice address
1928 ALCOA HWY, SUITE B-206, KNOXVILLE, TN 37920-1502
(865) 305-6505
(865) 305-6516
Mailing address
1928 ALCOA HWY, SUITE B-206, KNOXVILLE, TN 37920-1502
(865) 305-6505
(865) 305-6516
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD0000009071
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003962002
INDIVIDUAL NPI
—
05
—
3181311
—
TN
Enumeration date
11/07/2012
Last updated
11/07/2012
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