Provider Demographics
NPI:1104028158
Name:LOZZI, MAUREEN B (RN, CANP)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:B
Last Name:LOZZI
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Gender:F
Credentials:RN, CANP
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Mailing Address - Street 1:3650 JOSEPH SIEWICK DRIVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033
Mailing Address - Country:US
Mailing Address - Phone:703-391-8804
Mailing Address - Fax:703-391-2582
Practice Address - Street 1:3650 JOSEPH SIEWICK DR STE 107
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1711
Practice Address - Country:US
Practice Address - Phone:703-716-2866
Practice Address - Fax:703-716-2868
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2012-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024165830363LA2200X
VA1104022858363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health