Provider Demographics
NPI:1184407421
Name:LORENTE, ELAINA C
Entity type:Individual
Prefix:
First Name:ELAINA
Middle Name:C
Last Name:LORENTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 ROSWELL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2945
Mailing Address - Country:US
Mailing Address - Phone:770-975-1900
Mailing Address - Fax:
Practice Address - Street 1:2230 ROSWELL RD STE 110
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-2945
Practice Address - Country:US
Practice Address - Phone:770-975-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAHAA000227237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist