Provider Demographics
NPI:1568443372
Name:GALINDO, LORENZO MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:LORENZO
Middle Name:MANUEL
Last Name:GALINDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5481 W WATERS AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-1205
Mailing Address - Country:US
Mailing Address - Phone:813-577-4686
Mailing Address - Fax:813-577-4688
Practice Address - Street 1:1500 LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1200
Practice Address - Country:US
Practice Address - Phone:610-237-4544
Practice Address - Fax:610-237-5689
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME134321207ZC0500X, 207ZP0102X
PAMD040766207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0070261520002Medicaid
PA60471OtherBLUE SHIELD
PA30015349OtherKMHP
PA0662276000OtherKEYSTONE HEALTH PLAN EAST
PA30015349OtherKMHP
PA60471OtherBLUE SHIELD