Provider Demographics
NPI:1295100402
Name:LOZANO, NORMA (RPH)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:LOZANO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-4648
Mailing Address - Country:US
Mailing Address - Phone:210-725-6394
Mailing Address - Fax:
Practice Address - Street 1:125 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-4648
Practice Address - Country:US
Practice Address - Phone:210-725-6394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist