Provider Demographics
NPI:1851474902
Name:LORENZI, LAWRENCE P (DDS)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:P
Last Name:LORENZI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 PORT MARGATE PL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5324
Mailing Address - Country:US
Mailing Address - Phone:949-500-0018
Mailing Address - Fax:
Practice Address - Street 1:74303 HIGHWAY 111 STE 2A
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4141
Practice Address - Country:US
Practice Address - Phone:949-945-4274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA259371223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology