MRS. Marylou H Lozano, COMMUNITY SUPPORT SP
NPI #1659504231 in Deming, New Mexico
Provider Information
- NPI Number
- 1659504231
- Entity Type
- Individual
- Name
- MRS. Marylou H Lozano, COMMUNITY SUPPORT SP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- COMMUNITY SUPPORT SP
- Enumeration Date
- Aug 28, 2009
- Last Updated
- Jun 5, 2015
Practice Location
- Address
- 901 WEST HICKORY ST
- City
- Deming
- State
- New Mexico
- ZIP Code
- 88030
- Phone
- (575) 546-2174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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