Provider Demographics
NPI:1831445410
Name:LOZINSKI, JESSICA MICHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MICHELLE
Last Name:LOZINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1517 N ANKENY BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4120
Mailing Address - Country:US
Mailing Address - Phone:515-964-7705
Mailing Address - Fax:515-964-7708
Practice Address - Street 1:1517 N ANKENY BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4120
Practice Address - Country:US
Practice Address - Phone:515-964-7705
Practice Address - Fax:515-964-7708
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor