Provider Demographics
NPI:1760666309
Name:LOZNAK, SARAH DIANE (DO)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:DIANE
Last Name:LOZNAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 LAKE LANSING RD.
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912
Mailing Address - Country:US
Mailing Address - Phone:517-371-4712
Mailing Address - Fax:517-371-3116
Practice Address - Street 1:2414 LAKE LANSING RD.
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-371-4712
Practice Address - Fax:517-371-3116
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016724208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics