Provider Demographics
NPI:1396442596
Name:LORENZO HERNANDEZ, LENIA (APRN)
Entity type:Individual
Prefix:
First Name:LENIA
Middle Name:
Last Name:LORENZO HERNANDEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10713 SW 239TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6159
Mailing Address - Country:US
Mailing Address - Phone:786-973-9563
Mailing Address - Fax:
Practice Address - Street 1:12260 SW 8TH ST STE 116
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1503
Practice Address - Country:US
Practice Address - Phone:305-640-5738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024456207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine