Provider Demographics
NPI:1013353903
Name:LORENZO, PAZ M (NP-C)
Entity type:Individual
Prefix:MS
First Name:PAZ
Middle Name:M
Last Name:LORENZO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 FAIRVIEW AVE
Mailing Address - Street 2:APT. L
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-6805
Mailing Address - Country:US
Mailing Address - Phone:213-618-6240
Mailing Address - Fax:
Practice Address - Street 1:235 N HOOVER ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-3627
Practice Address - Country:US
Practice Address - Phone:213-382-7252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP22950363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily