# LORENZO G. DE LOS ANGELES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225105141
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 25MA03034700 | NJ | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 02/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 565593C2E | MEDICARE BILLING NO. | NJ |
