Individual
DIANE M LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-2600
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3744
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40448400
—
WI
Enumeration date
06/01/2007
Last updated
02/13/2024
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