Individual
MARIE LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, MAIL STOP 2424, MADISON, WI 53792-2424
(608) 263-8060
(608) 262-7679
Mailing address
1220 POST RD APT 204, MADISON, WI 53713-4246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5851
WI
Other
Enumeration date
03/10/2016
Last updated
01/19/2018
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