Lorenzo, Lisa Marie
Lorenzo, Lisa Marie is an individual health care provider with primary practice located at 2027 Lebanon Church Rd , West Mifflin PA 15122-2461. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lorenzo, Lisa Marie can be contacted via phone (412) 655-6513.Contact Information
Primary practice address
2027 Lebanon Church Rd
West Mifflin PA 15122-2461
Phone: (412) 655-6513
Fax: (412) 655-6513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000136 | Pennsylvania |
Profile Details
| NPI number | 1306833314 |
|---|---|
| LBN Legal business name | Lorenzo, Lisa Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Oct 2nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306833314 | NPPES |
| Pennsylvania | MEDICAID | 1475302 05 | |
| Pennsylvania | Other | 410036489 |
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