Provider Demographics
NPI:1083152631
Name:LOZANO, CELIA LEIGH (DNP)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:LEIGH
Last Name:LOZANO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:LEIGH
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:450 W PASEO REDONDO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85701-8274
Mailing Address - Country:US
Mailing Address - Phone:520-520-6703
Mailing Address - Fax:
Practice Address - Street 1:4550 S PALO VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714-1943
Practice Address - Country:US
Practice Address - Phone:520-670-3939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily