Provider Demographics
NPI:1134149735
Name:DIFRANCESCO, LORENZO (MD)
Entity type:Individual
Prefix:
First Name:LORENZO
Middle Name:
Last Name:DIFRANCESCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:952 GLEN ARDEN WAY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3408
Mailing Address - Country:US
Mailing Address - Phone:404-872-2212
Mailing Address - Fax:404-778-1602
Practice Address - Street 1:49 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3049
Practice Address - Country:US
Practice Address - Phone:404-778-1618
Practice Address - Fax:404-778-1602
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA040050207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00700345BMedicaid
GAG28426Medicare UPIN
GA11BDLVNMedicare ID - Type Unspecified