Organization
LORENZANA ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BROWN (CREDENTIALING SPECIALIST)
(801) 673-7661
Entity
Organization
Contact information
Practice address
8530 VILLAGE DR, SAN ANTONIO, TX 78217-5504
(210) 286-7914
Mailing address
8530 VILLAGE DR, SAN ANTONIO, TX 78217-5504
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
09/30/2017
Last updated
09/30/2017
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