Individual
LORI DILORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 MECHANIC ST, ATTN: DAMARIS DIAZ, WORCESTER, MA 01608-2420
(508) 792-5400
(508) 831-0074
Mailing address
10 MECHANIC ST, ATTN: DAMARIS DIAZ, WORCESTER, MA 01608-2420
(508) 792-5400
(508) 831-0074
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
209068
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320815
—
MA
01
—
221868
UGS
MA
01
—
M18970
BLUE SHIELD OF MA
MA
Enumeration date
12/14/2005
Last updated
02/07/2017
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