Individual
CHRISTOPHER ANTHONY LORENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 CIVIC CENTER BLVD, PCAM 3 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-2891
Mailing address
3400 CIVIC CENTER BLVD, PCAM 3 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-2891
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053372
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00162200
PA LICENSE
NJ
Enumeration date
05/21/2007
Last updated
04/14/2015
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