Provider Demographics
NPI:1740424464
Name:LOZANO, JAMES RAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RAUL
Last Name:LOZANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 RENO AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-4111
Mailing Address - Country:US
Mailing Address - Phone:704-336-2005
Mailing Address - Fax:704-336-8353
Practice Address - Street 1:3440 RENO AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-4111
Practice Address - Country:US
Practice Address - Phone:980-314-1830
Practice Address - Fax:704-336-8353
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251070207ZC0500X, 207ZP0102X
NC2016-01892207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology