Provider Demographics
NPI:1528287224
Name:LOZZI, MICHAEL VINCENT (LADC 1)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:VINCENT
Last Name:LOZZI
Suffix:
Gender:M
Credentials:LADC 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 DEN QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-1323
Mailing Address - Country:US
Mailing Address - Phone:617-240-4711
Mailing Address - Fax:
Practice Address - Street 1:302 DEN QUARRY RD
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-1323
Practice Address - Country:US
Practice Address - Phone:617-240-4711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)