Individual
LORENZO SUMMERS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 N 19TH AVE, PHOENIX, AZ 85015-2450
(480) 219-5769
(480) 219-5769
Mailing address
5501 N 19TH AVE, PHOENIX, AZ 85015-2450
(480) 219-5769
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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