Individual
MARLENE B LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 KINGSLEY LN, SUITE 312, NORFOLK, VA 23505-4614
(757) 354-2885
(757) 889-5742
Mailing address
6160 KEMPSVILLE CIR, STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001140571
VA
363L00000X
Nurse Practitioner
Primary
0024164363P
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41686N
SENTARA/OPTIMA
VA
05
—
7780257
—
VA
Enumeration date
02/21/2006
Last updated
03/17/2020
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