LIVIA LOZANO (NPI# 1467940940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467940940 |
| Entity Type | Individual |
| Full Name | LIVIA LOZANO |
| Credential | MD |
| Practice Address |
1108 Ross Clark Cir Dothan AL 36301-3022 |
| Mailing Address |
13417 Nw 5th Pl Plantation FL 33325-6149 |
| Practice Telephone | 3347123329 |
| Mailing Telephone | 9548649734 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1108 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576268 | Judith L Bosse | Nurse Practitioner | 1108 Ross Clark Cir, Hospitalist Office, Dothan, AL 36301-3022 | 2005-05-27 |
| 1811597073 | Michael Brian Pierce | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-10-27 |
| 1659990901 | Robert Dale Garrett | Nurse Anesthetist, Certified Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-04-15 |
| 1861028607 | Richard Henry Jester | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-03-12 |
| 1467017335 | Keaton Peak | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301 | 2019-05-07 |
| 1396214060 | Shalita Clark | Psychiatry & Neurology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2018-11-24 |
| 1619452760 | Drew Mckenzie Hubbard | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2018-09-25 |
| 1609359926 | Amber Salmon | Dietitian, Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3024 | 2018-09-12 |
| 1255825832 | Shannon Louette Skaug | Nurse Practitioner | 1108 Ross Clark Cir, Dothan, AL 36301-3024 | 2018-06-18 |
| 1225529712 | Vyshnavi Kone | Student in an Organized Health Care Education/Training Program | 1108 Ross Clark Cir, Dothan, AL 36301 | 2018-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841813664 | Oluwafemi Odunayo Osunnuga | Student in an Organized Health Care Education/Training Program | 445 Health Sciences Blvd Apt 5205, Dothan, AL 36303-6904 | 2020-05-27 |
| 1801425954 | Fateeha Tariq | Student in an Organized Health Care Education/Training Program | 1108 Ross Clark Circle, Suite 210, Dothan, AL 36302 | 2020-04-01 |
| 1831723618 | David Ivan Bermejo | Student in an Organized Health Care Education/Training Program | 445 Health Sciences Blvd, Dothan, AL 36303-6904 | 2020-03-02 |
| 1124658638 | Cecilia Marie Hughes | Student in an Organized Health Care Education/Training Program | 892 Royal Pkwy, Dothan, AL 36305-9424 | 2020-01-23 |
| 1801426317 | Mackenzie Erin Hill | Student in an Organized Health Care Education/Training Program | 121 Greenview Cir, Dothan, AL 36301-7823 | 2020-01-23 |
| 1922638436 | Jaden Chandler | Student in an Organized Health Care Education/Training Program | 1259 Campbellton Hwy, Dothan, AL 36301-7624 | 2020-01-23 |
| 1720618234 | Belinda Casey Carter | Student in an Organized Health Care Education/Training Program | 2631 N County Road 49, Dothan, AL 36305-5141 | 2020-01-23 |
| 1750866182 | James Case | Student in an Organized Health Care Education/Training Program | 1108 Ross Clark Cir Ste 210, Dothan, AL 36301-3022 | 2018-10-02 |
| 1932646650 | Christopher David Randall Jr. | Student in an Organized Health Care Education/Training Program | 1017 Lucy Grade Rd, Dothan, AL 36301-8075 | 2017-01-20 |
| 1306231428 | Jimmy Huynh | Student in an Organized Health Care Education/Training Program | 571 Trawick Rd, Dothan, AL 36305-4219 | 2015-04-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.