Provider Demographics
NPI:1043720923
Name:DE ALEJANDRO, LORENA LUZ (FNP-C)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:LUZ
Last Name:DE ALEJANDRO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LORENA
Other - Middle Name:LUZ
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9139 W THUNDERBIRD RD STE 265
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4922
Mailing Address - Country:US
Mailing Address - Phone:602-777-7011
Mailing Address - Fax:623-777-4497
Practice Address - Street 1:9139 W THUNDERBIRD RD STE 265
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4922
Practice Address - Country:US
Practice Address - Phone:602-777-7011
Practice Address - Fax:623-777-4497
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-05
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily