Most Relevant Information
Provider Data
| NPI Number: | 1003542358 |
| Provider Name: | KEVIN LOZADA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2022 |
| Last Updated: | 08/01/2022 |
Provider Practice Location
30 DIAMOND DR
PLAINVIEW
NY
118032118
Practice Location Phone/Fax
| Phone: | 5167299407 |
| Fax: |
Provider Mailing Location
30 DIAMOND DR
PLAINVIEW
NY
118032118
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |