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Organization
MAYRA LORENZO M.D PA
Active
Organization
MAYRA LORENZO M.D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA L LORENZO M.D (PHYSCIAN/OWNER)
(727) 216-6188
Entity
Organization
Contact information
Practice address
12150 SEMINOLE BLVD, LARGO, FL 33778-2833
(727) 216-6188
(727) 216-6243
Mailing address
12150 SEMINOLE BLVD, LARGO, FL 33778-2833
(727) 216-6188
(727) 216-6243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME59120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447251061
NPI TYPE 1
FL
Enumeration date
04/29/2009
Last updated
02/15/2014
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