Provider Demographics
NPI:1326384017
Name:LORENZI, NAHLA IBRAHIM (MD)
Entity Type:Individual
Prefix:DR
First Name:NAHLA
Middle Name:IBRAHIM
Last Name:LORENZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1614 SCHOBER RD
Mailing Address - Street 2:
Mailing Address - City:NORTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-4434
Mailing Address - Country:US
Mailing Address - Phone:817-368-0203
Mailing Address - Fax:817-782-4674
Practice Address - Street 1:1614 SCHOBER RD
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76226-4434
Practice Address - Country:US
Practice Address - Phone:817-368-0203
Practice Address - Fax:817-782-4674
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-27
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9175207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine