Provider Demographics
NPI:1649293283
Name:DELORENZO, LAWRENCE (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:DELORENZO
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:WESTCHESTER MEDICAL CENTER
Mailing Address - Street 2:MACY PAVILION, 100 WOODS ROAD
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-7518
Mailing Address - Fax:914-594-4434
Practice Address - Street 1:WESTCHESTER MEDICAL CENTER
Practice Address - Street 2:MACY PAVILION, 100 WOODS ROAD
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7518
Practice Address - Fax:914-493-8130
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131698207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00602915Medicaid
113803OtherWELLCARE
131698OtherHIP
NY5C6383OtherHEALTHNET
NY00000013803OtherGHI HMO
131698-3WOtherWORKERS COMPENSATION
NY4318623OtherAETNA PPO
NY49A941OtherBCBS OF NY
NY0036691OtherGHI PPO
696467OtherMVP
WS429OtherOXFORD
002940OtherCONNECTICARE
NY0533008OtherAETNA HMO
NY290006589OtherRAILROAD MEDICARE