Provider Demographics
NPI:1518730415
Name:LOZANO, LUANNA ROXANNE
Entity Type:Individual
Prefix:
First Name:LUANNA
Middle Name:ROXANNE
Last Name:LOZANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 W ELDORA RD APT C
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-4867
Mailing Address - Country:US
Mailing Address - Phone:956-510-1028
Mailing Address - Fax:
Practice Address - Street 1:304 W ELDORA RD APT C
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-4867
Practice Address - Country:US
Practice Address - Phone:956-510-1028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care