Provider Demographics
NPI:1952740300
Name:FOX LOZORAITIS, CASSANDRA ANNE (OD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ANNE
Last Name:FOX LOZORAITIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:ANNE
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:609 E MCMURRAY RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3419
Mailing Address - Country:US
Mailing Address - Phone:724-941-3930
Mailing Address - Fax:724-941-1787
Practice Address - Street 1:609 E MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3419
Practice Address - Country:US
Practice Address - Phone:724-941-3930
Practice Address - Fax:724-941-1787
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002749152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist