| Doctor Name: | MR. CHRISTIAN ANTHONY LORENTZEN |
| NPI Number: | 1336278407 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R-PAC |
| License Number: | 007869 |
| Business Practice Address: | 207 Glen Cove Ave Sea Cliff, NY - 115791437 |
| Business Phone Number: | 6312655858 |
| Business Fax Number: | |
| Mailing Address: | 11 Rudys Ln, CORAM |
| State: | NY |
| Postal Code: | 117272324 |
| Phone Number: | 6315139887 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 007869 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |