Provider Demographics
NPI:1477837771
Name:COMPLETE HEALTHCARE FOR WOMEN PLLC
Entity Type:Organization
Organization Name:COMPLETE HEALTHCARE FOR WOMEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CARMEN
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:509-392-6700
Mailing Address - Street 1:1045 JADWIN AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3405
Mailing Address - Country:US
Mailing Address - Phone:509-392-6700
Mailing Address - Fax:509-392-6699
Practice Address - Street 1:1045 JADWIN AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3405
Practice Address - Country:US
Practice Address - Phone:509-392-6700
Practice Address - Fax:509-392-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60104325207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty