Provider Demographics
NPI:1588660732
Name:LORENZO, LOUIS A JR (DC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:A
Last Name:LORENZO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 N BEVERWYCK RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1539
Mailing Address - Country:US
Mailing Address - Phone:973-334-6868
Mailing Address - Fax:
Practice Address - Street 1:359 N BEVERWYCK RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1539
Practice Address - Country:US
Practice Address - Phone:973-334-6868
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00197300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJLO009922Medicare ID - Type Unspecified
NJT44541Medicare UPIN