Lorenzo, Melody Kay

Lorenzo, Melody Kay is an individual health care provider with primary practice located at 404 W Main St , Kelso WA 98626-1118. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lorenzo, Melody Kay can be contacted via phone (360) 423-2806.

Contact Information

Primary practice address
404 W Main St Kelso WA 98626-1118
Phone: (360) 423-2806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X CP00001048 Washington

Profile Details

NPI number 1073083580
LBN Legal business name Lorenzo, Melody Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2018
Last updated Nov 27th, 2018 - about 6 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 1073083580 NPPES
Washington MEDICAID 1801018528

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