| Jaclyn D Lozier, MD | |
| 140 Hospital Dr Ste 210, Bennington, VT 05201 | |
| (802) 447-3930 | |
| (802) 447-8539 | 
| Full Name | Jaclyn D Lozier | 
|---|---|
| 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 | 
|---|---|
| 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 |