-- MANUEL LOZANO IDC ⚕️ Connecticut 1346590015

NPI	1346590015
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date	2012-09-11
Last Update Date	2012-09-11

-- MANUEL LOZANO IDC

42 POPLAR RD

GROTON, CT 06340-3028

Phone number: 619-952-1520

-- MANUEL LOZANO IDC

42 POPLAR RD

GROTON, CT 06340-3028

Phone number: 619-952-1520