Provider Demographics
NPI:1184789943
Name:LEWY ALTERBAUM, LORENA (MD)
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:LEWY ALTERBAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 STIRLING RD
Mailing Address - Street 2:BLDG C, STE 111
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8013
Mailing Address - Country:US
Mailing Address - Phone:954-967-0500
Mailing Address - Fax:954-967-0778
Practice Address - Street 1:9720 STIRLING RD
Practice Address - Street 2:BLDG C, STE 111
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8013
Practice Address - Country:US
Practice Address - Phone:954-967-0500
Practice Address - Fax:954-967-0778
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58680207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE61782OtherUNPIN
FL11344OtherBLUE CROSS
FLE61782OtherUNPIN