Provider Demographics
NPI:1427381367
Name:LOZAR, COURTNEY ERIN (MS CCC SLP/L)
Entity Type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:ERIN
Last Name:LOZAR
Suffix:
Gender:F
Credentials:MS CCC SLP/L
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Mailing Address - Street 1:22282 PEPPER ROAD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LAKE BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010
Mailing Address - Country:US
Mailing Address - Phone:847-842-0597
Mailing Address - Fax:847-842-9882
Practice Address - Street 1:22285 N PEPPER RD
Practice Address - Street 2:SUITE 301
Practice Address - City:LAKE BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2538
Practice Address - Country:US
Practice Address - Phone:847-842-0597
Practice Address - Fax:847-842-9882
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL146.009939235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist