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Mr. Luis Lozano, PA
Surgical Physician Assistant in Puyallup, Washington
NPI 1720066947

Luis Lozano is a Surgical Physician Assistant based in Puyallup, WA and is specialized in Surgical. Luis Lozano practices in Puyallup, WA and has the professional credentials of PA. The NPI Number for Luis Lozano is 1720066947 and holds a License No. PA1003732 (Washington).

The current practice location address for Luis Lozano is 3801 5Th St Se Ste 110, Puyallup, WA and can be reached out via phone at 253-845-9585 and via fax at 253-848-1126.

Location: 3801 5Th St Se Ste 110, Puyallup, WA, 98374-2106
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Provider Profile Details
NPI Number
1720066947
Provider Name
Luis Lozano
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3801 5Th St Se Ste 110, Puyallup, WA, 98374-2106
Phone Number
253-845-9585
Fax Number
253-848-1126
Provider Enumeration Date
01/06/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500518 01 WA WA LABOR & INDUSTRIES
2025150 05 WA
institution
Provider Business Practice Location Address Details
Address
3801 5Th St Se Ste 110
City
State
Zip
98374-2106
Phone Number
253-845-9585
Fax Number
253-848-1126
person
Provider Business Mailing Address Details
Address
3801 5Th St Se Ste 110
City
State
Zip
98374-2106
Phone Number
253-845-9585
Fax Number
253-848-1126
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1003732 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA1003732 (Washington)
Definition
Definition to come...
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