Provider Demographics
NPI:1295556348
Name:LORENZO, ALLISON M (LPN)
Entity type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:M
Last Name:LORENZO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 MILLBURN AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1712
Mailing Address - Country:US
Mailing Address - Phone:973-218-1990
Mailing Address - Fax:973-218-1104
Practice Address - Street 1:225 MILLBURN AVE STE 204
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1712
Practice Address - Country:US
Practice Address - Phone:973-218-1990
Practice Address - Fax:973-218-1104
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP07405400164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse