Provider Demographics
NPI:1366752610
Name:RAMON G. LOZANO, M.D. LLC
Entity type:Organization
Organization Name:RAMON G. LOZANO, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:G
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:412-664-2480
Mailing Address - Street 1:500 HOSPITAL WAY
Mailing Address - Street 2:PAINTER BLDG., SUITE 9
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2004
Mailing Address - Country:US
Mailing Address - Phone:412-664-2480
Mailing Address - Fax:412-664-6772
Practice Address - Street 1:500 HOSPITAL WAY
Practice Address - Street 2:PAINTER BLDG., SUITE 9
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2004
Practice Address - Country:US
Practice Address - Phone:412-664-2480
Practice Address - Fax:412-664-6772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-019740-E207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007029430002Medicaid
PA102306OtherUPMC HEALTH PLAN
PA102306OtherUPMC HEALTH PLAN
PA047139Medicare PIN