Individual
MARK F LORENZO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
45 PINSBAARI DR, PUEBLO OF ACOMA, NM 87034
(505) 552-6661
Mailing address
PO BOX 328, PUEBLO OF ACOMA, NM 87034-0328
(505) 552-6661
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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