Jaclyn D Lozier, MD | |
140 Hospital Dr Ste 210, Bennington, VT 05201 | |
(802) 447-3930 | |
(802) 447-8539 |
Full Name | Jaclyn D Lozier |
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Gender | Female |
Speciality | Pediatrics |
Location | 140 Hospital Dr Ste 210, Bennington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083008270 | NPI | - | NPPES |
042.0014123 | Other | VT | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 042.0014123 (Vermont) | Primary |
Entity Name | Southwestern Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184994162 PECOS PAC ID: 0143138446 Enrollment ID: O20120613000217 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn D Lozier, MD 201 Lyons Ave, Newark, NJ 07112-2027 Ph: (973) 926-7471 | Jaclyn D Lozier, MD 140 Hospital Dr Ste 210, Bennington, VT 05201 Ph: (802) 447-3930 |
Martin R Luloff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr, Suite 207, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539 | |
Judy Kay Orton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Main St, Suite 1, Bennington, VT 05201 Phone: 802-442-6057 Fax: 802-447-1348 | |
Theodore L Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 194 North Street, Bennington, VT 05201 Phone: 802-442-2264 Fax: 802-442-2337 |