Individual
DR. MARCIA H LORENTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH MSED ED.D.
Contact information
Practice address
60 LAFAYETTE ST, BRIDGEPORT, CT 06604-7719
(203) 576-4138
(203) 576-4220
Mailing address
60 LAFAYETTE ST, BRIDGEPORT, CT 06604-7719
(203) 576-4138
(203) 576-4220
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002754
CT
Other
Enumeration date
02/16/2007
Last updated
07/18/2012
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