Individual
TINA LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
7310 GALENA AVE NW, CANAL FULTON, OH 44614-8233
(330) 412-2088
Mailing address
7310 GALENA AVE NW, CANAL FULTON, OH 44614-8233
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3504
OH
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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