Doctor Name: | EDUARDO E LORENZO |
NPI Number: | 1114065331 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME95110 |
Business Practice Address: | 4779 Collins Ave Apt. 1207 Miami Beach, FL - 331403251 |
Business Phone Number: | 3055863312 |
Business Fax Number: | |
Mailing Address: | 4779 Collins Ave, Apt. 1207 MIAMI BEACH |
State: | FL |
Postal Code: | 331403251 |
Phone Number: | 3055863312 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME95110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |