Individual
MR. LORENZO JERMAINE BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4605 PEMBROKE LAKE CIR STE 202, VIRGINIA BEACH, VA 23455-6436
(757) 813-4819
Mailing address
6702 BURBAGE LANDING CIR, SUFFOLK, VA 23435-3080
(757) 813-4819
(757) 813-4819
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T62673404
VA
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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