Provider Demographics
NPI:1437542503
Name:RACHEL L. LORENZ, DMD, MMSC, PC
Entity Type:Organization
Organization Name:RACHEL L. LORENZ, DMD, MMSC, PC
Other - Org Name:LORENZ ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:LORENZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MMSC
Authorized Official - Phone:617-827-9150
Mailing Address - Street 1:1 GERALDINE LN
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-8229
Mailing Address - Country:US
Mailing Address - Phone:617-827-9150
Mailing Address - Fax:
Practice Address - Street 1:409 POND ST
Practice Address - Street 2:SUITE 5
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-6850
Practice Address - Country:US
Practice Address - Phone:781-848-6422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty