Provider Demographics
NPI:1063496297
Name:LOZOWSKI, JOHN FRANCIS (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:LOZOWSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-425-3981
Mailing Address - Fax:215-425-8083
Practice Address - Street 1:2923 E THOMPSON ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19134-4812
Practice Address - Country:US
Practice Address - Phone:215-425-3981
Practice Address - Fax:215-425-8083
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006638L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001179225Medicaid
PA597586OtherMEDICARE GROUP
PA0299222000OtherINDEPENDENCE BLUE CROSS
PA080171239OtherRR MEDICARE
PA4353164OtherAETNA PPO
PA897955OtherHIGHMARK BLUE SHIELD
PA10511OtherBRAVO HEALTH
PA2598226OtherAETNA HMO
PA30008811OtherKEYSTONE MERCY HEALTH
PA2598226OtherAETNA HMO
PA486929Medicare PIN