Provider Demographics
NPI:1164674305
Name:LOZOTT
Entity Type:Organization
Organization Name:LOZOTT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROOKER LOZOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:954-445-1530
Mailing Address - Street 1:16418 MAGNOLIA BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:MONTVERDE
Mailing Address - State:FL
Mailing Address - Zip Code:34756-3507
Mailing Address - Country:US
Mailing Address - Phone:954-445-1530
Mailing Address - Fax:407-469-2434
Practice Address - Street 1:16418 MAGNOLIA BLUFF DR
Practice Address - Street 2:
Practice Address - City:MONTVERDE
Practice Address - State:FL
Practice Address - Zip Code:34756-3507
Practice Address - Country:US
Practice Address - Phone:954-445-1530
Practice Address - Fax:407-469-2434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center