Doctor Name: | MARILYNN ANN LORENZ |
NPI Number: | 1073782165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6803085689 |
Business Practice Address: | 1800 Imlay City Rd Lapeer, MI - 484463208 |
Business Phone Number: | 8106670243 |
Business Fax Number: | 8102455689 |
Mailing Address: | 1800 Imlay City Rd, LAPEER |
State: | MI |
Postal Code: | 484463208 |
Phone Number: | 8106670243 |
Fax Number: | 8102455689 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6803085689 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |