| Doctor Name: | LORENZO G. DE LOS ANGELES |
| NPI Number: | 1225105141 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA03034700 |
| Business Practice Address: | 59 Koch Ave Morris Plains, NJ - 079504400 |
| Business Phone Number: | 9735381800 |
| Business Fax Number: | |
| Mailing Address: | 2 Quinby Court, PARSIPPANY |
| State: | NJ |
| Postal Code: | 07054 |
| Phone Number: | 9738840744 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA03034700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |