Provider Demographics
NPI:1770977456
Name:JOZWOWSKI, LONDA (DC)
Entity type:Individual
Prefix:
First Name:LONDA
Middle Name:
Last Name:JOZWOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:WI
Mailing Address - Zip Code:53073-1957
Mailing Address - Country:US
Mailing Address - Phone:920-893-2345
Mailing Address - Fax:920-893-8045
Practice Address - Street 1:710 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:WI
Practice Address - Zip Code:53073-1957
Practice Address - Country:US
Practice Address - Phone:920-893-2345
Practice Address - Fax:920-893-8045
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3679-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor