Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 5061716L | OH |
N | 2080P0205X | Pediatric Endocrinologist | L2432 | TX |
NPI | 1033226014 |
---|---|
Provider Name | Rolando Lozano |
First Address | Columbus, OH 43235 |
Second Address | Columbus, OH 43235-6458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 15/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101030801 | (05) | TX |
101030802 | CIDC (01) | TX |