Individual
LORENZO WEATHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFSA,CNA
Contact information
Practice address
605 IVIS AVE, MOBILE, AL 36617-3430
(251) 776-3584
Mailing address
605 IVIS AVE, MOBILE, AL 36617-3430
(251) 776-3584
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
8430
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790358703
—
AL
Enumeration date
07/25/2025
Last updated
07/25/2025
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