Provider Demographics
NPI:1841736238
Name:TORRES, LORENZO JR
Entity Type:Individual
Prefix:
First Name:LORENZO
Middle Name:
Last Name:TORRES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 PAREDES LINE RD
Mailing Address - Street 2:STE B
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2524
Mailing Address - Country:US
Mailing Address - Phone:956-542-2669
Mailing Address - Fax:956-542-5127
Practice Address - Street 1:765 PAREDES LINE RD
Practice Address - Street 2:STE B
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2524
Practice Address - Country:US
Practice Address - Phone:956-542-2669
Practice Address - Fax:956-542-5127
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist