Individual
PHILLIP MICHAEL LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T.
Contact information
Practice address
403 E 11TH AVE, SPEARMAN, TX 79081-4021
(806) 659-3233
Mailing address
403 E 11TH AVE, SPEARMAN, TX 79081-4021
(806) 659-3233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4761
TX
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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