Provider Demographics
NPI:1821549288
Name:POZZI LORENZO, KARINA GISELLE (MS SLP)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:GISELLE
Last Name:POZZI LORENZO
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:F23 CALLE 10
Mailing Address - Street 2:URB ISABEL LA CATOLICA
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602
Mailing Address - Country:US
Mailing Address - Phone:787-453-9748
Mailing Address - Fax:
Practice Address - Street 1:F 23 CALLE 10
Practice Address - Street 2:URBANIZACION ISABEL LA CATOLICA
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-453-9748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3080235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist