Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD0000009071 | TN |
NPI | 1003962002 |
---|---|
Provider Name | Dr. Carmen B Lozzio |
First Address | Knoxville, TN 37950-1193 |
Second Address | Knoxville, TN 37920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 12/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3181311 | (05) | TN |
B03960 | (02) |