Provider Demographics
NPI:1942420427
Name:SAA, LORNA PEREZ (RPT)
Entity Type:Individual
Prefix:MS
First Name:LORNA
Middle Name:PEREZ
Last Name:SAA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 WILLIAMSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-6204
Mailing Address - Country:US
Mailing Address - Phone:718-822-1166
Mailing Address - Fax:
Practice Address - Street 1:3219 E TREMONT AVE
Practice Address - Street 2:COMPLETE SPINAL REHABILITATION, LL3
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5751
Practice Address - Country:US
Practice Address - Phone:718-892-2022
Practice Address - Fax:718-892-2144
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018295-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist