Provider Demographics
NPI:1093116220
Name:LORENCE, NORMA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:
Last Name:LORENCE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 LOISDALE CT
Mailing Address - Street 2:5TH FLOOR, PHARMACY
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1826
Mailing Address - Country:US
Mailing Address - Phone:703-922-1560
Mailing Address - Fax:703-922-1641
Practice Address - Street 1:6501 LOISDALE CT
Practice Address - Street 2:5TH FLOOR, PHARMACY
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1826
Practice Address - Country:US
Practice Address - Phone:703-922-1560
Practice Address - Fax:703-922-1641
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051039297183500000X
MD13991183500000X
DCPH100001466183500000X
VA0202213407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist