Provider Demographics
NPI:1942770961
Name:LORENZO, LIMARY (PHD)
Entity Type:Individual
Prefix:
First Name:LIMARY
Middle Name:
Last Name:LORENZO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3292
Mailing Address - Country:US
Mailing Address - Phone:787-234-5575
Mailing Address - Fax:
Practice Address - Street 1:1555 INDIAN RIVER BLVD STE B241
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7119
Practice Address - Country:US
Practice Address - Phone:772-778-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty