De Los Angeles, Lorenzo G.

De Los Angeles, Lorenzo G. is an sole proprietor health care provider with primary practice located at 59 Koch Ave , Morris Plains NJ 07950-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. De Los Angeles, Lorenzo G. can be contacted via phone (973) 538-1800.

Contact Information

Primary practice address
59 Koch Ave Morris Plains NJ 07950-4400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA03034700 New Jersey

Profile Details

NPI number 1225105141
LBN Legal business name De Los Angeles, Lorenzo G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Feb 25th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225105141 NPPES
New Jersey Other 565593C2E MEDICARE BILLING NO.

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