Provider Demographics
NPI:1093844284
Name:LORENZO, LYNDA LEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:LEE
Last Name:LORENZO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:LYNDA
Other - Middle Name:LEE
Other - Last Name:ROWLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:6 CLUBHOUSE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-2557
Mailing Address - Country:US
Mailing Address - Phone:860-559-3070
Mailing Address - Fax:860-632-3127
Practice Address - Street 1:2286 BERLIN TURNPIKE
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-3202
Practice Address - Country:US
Practice Address - Phone:860-343-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT5527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist