Individual
JOHN RUSSELL LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
2815 S MAIN ST, CORONA, CA 92882-2531
(951) 475-1307
(951) 475-1308
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(951) 335-9825
(812) 590-8333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25526
CA
Other
Enumeration date
02/08/2024
Last updated
06/27/2025
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