Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 32053 | SC |
NPI | 1013114735 |
---|---|
Provider Name | Karl A Lozanne |
First Address | Columbia, SC 29201-3520 |
Second Address | Columbia, SC 29201-3520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 07/01/2016 |