Provider Demographics
NPI:1962970236
Name:BROWLEY, LOZETTA (HOME HEALTH AGENCY)
Entity type:Individual
Prefix:
First Name:LOZETTA
Middle Name:
Last Name:BROWLEY
Suffix:
Gender:F
Credentials:HOME HEALTH AGENCY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 ARDMORE DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2200
Mailing Address - Country:US
Mailing Address - Phone:434-944-4844
Mailing Address - Fax:
Practice Address - Street 1:119 MONROE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:VA
Practice Address - Zip Code:24574-3244
Practice Address - Country:US
Practice Address - Phone:434-851-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA83-1099507251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health