Individual
CHRISTA THERESE LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
800 E 1ST ST, SUITE 1700, ANKENY, IA 50021-2077
(515) 643-8106
(515) 643-8187
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-4973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001506
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29975
WELLMARK BLUE SHIELD
IA
Enumeration date
10/10/2005
Last updated
08/07/2007
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