Provider Demographics
NPI:1902517667
Name:LOZANO, CYNDI
Entity Type:Individual
Prefix:MS
First Name:CYNDI
Middle Name:
Last Name:LOZANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9919 130TH STREET CT E APT L210
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-9451
Mailing Address - Country:US
Mailing Address - Phone:360-310-8533
Mailing Address - Fax:
Practice Address - Street 1:12812 101ST AVENUE CT E STE 202
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-9103
Practice Address - Country:US
Practice Address - Phone:253-864-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health