Provider Demographics
NPI:1720825524
Name:LOZANO, SONIA MARIE (LVN)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:MARIE
Last Name:LOZANO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 COUNTRY CLUB DR APT 16208
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3382
Mailing Address - Country:US
Mailing Address - Phone:956-220-5702
Mailing Address - Fax:
Practice Address - Street 1:4602 N BARTLETT AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3803
Practice Address - Country:US
Practice Address - Phone:956-523-7850
Practice Address - Fax:956-523-7851
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222835164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty