Provider Demographics
NPI:1932185543
Name:LOZANO, JOSEPH JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:LOZANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 OLD HENDERSONVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768-9711
Mailing Address - Country:US
Mailing Address - Phone:828-862-5748
Mailing Address - Fax:828-966-4981
Practice Address - Street 1:2303 OLD HENDERSONVILLE HWY
Practice Address - Street 2:
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768-9711
Practice Address - Country:US
Practice Address - Phone:828-862-5748
Practice Address - Fax:828-966-4981
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12998OtherBCBS OF NC PROVIDER #
NCE00562271775OtherAETNA PROVIDER NUMBER
NC8912998Medicaid
NC12998OtherBCBS OF NC PROVIDER #
NCE00562271775OtherAETNA PROVIDER NUMBER