Individual
MICAELA LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT, SCAT
Contact information
Practice address
3300 POINSETT HWY, GREENVILLE, SC 29613-0002
(864) 294-3535
Mailing address
2721 EDINBORO DR, ARLINGTON, TX 76012-5396
(817) 277-0509
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1265
SC
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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