Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Luis Lozano, PA

Individual provider Medical Physician Assistant · NPI 1720066947

Mr. Luis Lozano, PA is a Physician Assistant in Puyallup, Washington. Qualified in 1998, 28 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
28
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3801 5th St SE Ste 110
Puyallup, WA 98374-2106
Phone: (253) 845-9585
Fax: (253) 848-1126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20920 Sr 410 E, Bonney Lake, WA 98391-6302 — (253) 845-9585

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA1003732 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1003732 (WA)

Record details

NPI number1720066947
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup