Provider Demographics
NPI:1124609037
Name:LOZOWSKI, KATHLEEN M (RN)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:M
Last Name:LOZOWSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 HIGH PLAIN RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3346
Mailing Address - Country:US
Mailing Address - Phone:978-604-0206
Mailing Address - Fax:
Practice Address - Street 1:44 HIGH PLAIN RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3346
Practice Address - Country:US
Practice Address - Phone:978-604-0206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA137200163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse