Provider Demographics
NPI:1679243596
Name:LOZIER MEDICINE LLC
Entity Type:Organization
Organization Name:LOZIER MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D, FNP-BC
Authorized Official - Phone:603-723-6841
Mailing Address - Street 1:13 NH ROUTE 16A STE 2
Mailing Address - Street 2:
Mailing Address - City:INTERVALE
Mailing Address - State:NH
Mailing Address - Zip Code:03845-6300
Mailing Address - Country:US
Mailing Address - Phone:603-723-6841
Mailing Address - Fax:
Practice Address - Street 1:13 NH ROUTE 16A STE 2
Practice Address - Street 2:
Practice Address - City:INTERVALE
Practice Address - State:NH
Practice Address - Zip Code:03845-6300
Practice Address - Country:US
Practice Address - Phone:603-723-6841
Practice Address - Fax:616-226-4861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service