Individual
DENISE A. LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
23101 LAKE CENTER DR, LAKE FOREST, CA 92630-2801
(949) 716-9021
(949) 861-6810
Mailing address
23101 LAKE CENTER DR, LAKE FOREST, CA 92630-2801
(949) 716-9021
(949) 861-6810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
281288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B077
CHAMPUS
—
01
—
NP0164370
BLUE SHIELD OF CA
—
Enumeration date
08/07/2006
Last updated
11/04/2013
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