LOZANO, KAY D (MD)

Provider Demographics

• NPI: 1346297462
• Name: LOZANO, KAY D (MD)
• Entity Type: Individual
• First Name: KAY
• Middle Name: D
• Last Name: LOZANO
• Gender: F
• Credentials: MD
• Mailing Address - Street 1: 11995 SINGLETREE LN STE 500
• Mailing Address - City: EDEN PRAIRIE
• Mailing Address - State: MN
• Mailing Address - Zip Code: 55344-5349
• Mailing Address - Country: US
• Mailing Address - Phone: 952-595-1301
• Mailing Address - Fax: 612-294-4903
• Practice Address - Street 1: 11995 SINGLETREE LN STE 500
• Practice Address - City: EDEN PRAIRIE
• Practice Address - State: MN
• Practice Address - Zip Code: 55344-5349
• Practice Address - Country: US
• Practice Address - Phone: 952-595-1301
• Practice Address - Fax: 612-294-4903
• Is Sole Proprietor?: No
• Enumeration Date: 2006-05-27
• Last Update Date: 2021-06-25

Provider Licenses

State	License ID	Taxonomies
CO	42398	2085R0202X, 2085R0202X
KS	04-31040	2085R0202X
HI	17473	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IL	$$$$$$$$$	Medicaid
CO	33506876	Medicaid
MI	104695186	Medicaid
WY	1346297462	Medicaid
IA	1346297462	Medicaid
WA	8492688	Medicaid
WA	7139090	Medicaid
MT	1346297462	Medicaid
KS	200379710A	Medicaid
WI	99111448	Medicaid
SD	1346297462	Medicaid
CA	1346297462	Medicaid
OK	200236500A	Medicaid
IL	$$$$$$$$$	Medicaid
HI	0000343848	Other	HMSA ALL PRODUCTS
WA	0292715	Other	WA MCD, DEPARTMENT OF LABOR AND INDUSTRIES
NE	10025709000	Medicaid
AZ	927246	Medicaid
AZ	32653096	Medicaid
NC	7617665	Medicaid
NE	84-059792913	Medicaid
MO	200263408	Medicaid
AK	MD899CO	Medicaid
TX	172860201	Medicaid
UT	1346297462	Medicaid
AL	1346297462	Medicaid
HI	0000343848	Other	HMSA ALL PRODUCTS
AZ	32653096	Medicaid
WY	1346297462	Medicaid
OK	200236500A	Medicaid
CO	P00213963	Medicare PIN
NE	NA2517011	Medicare PIN
NE	NA1214006	Medicare PIN
CO	C524178	Medicare PIN
KS	111257036	Medicare PIN
UT	1346297462	Medicaid
NE	84-059792913	Medicaid
NE	P00720356	Medicare PIN
MT	1346297462	Medicaid
HI	H105409	Medicare Oscar/Certification
NE	NA1215006	Medicare PIN