Lozano Gonzalez, Lourdes Bernardete

Lozano Gonzalez, Lourdes Bernardete is an sole proprietor health care provider with primary practice located at 4107 W Spruce St Ste 100 , Tampa FL 33607-2346. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lozano Gonzalez, Lourdes Bernardete can be contacted via phone (813) 636-8811.

Contact Information

Primary practice address
4107 W Spruce St Ste 100 Tampa FL 33607-2346
Phone: (813) 636-8811
Fax: (813) 636-8855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN1102786 Florida
Nursing Service Providers / General Practice 163WG0000X RN9551104 Florida

Profile Details

NPI number 1396433728
LBN Legal business name Lozano Gonzalez, Lourdes Bernardete
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2023
Last updated Mar 5th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396433728 NPPES
Florida MEDICAID 119788600

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