Individual
JHONNY LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C-AA
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 644-1274
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
056859477
GA
367H00000X
Anesthesiologist Assistant
Primary
11401
GA
367H00000X
Anesthesiologist Assistant
2023000420
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
07/23/2022
Last updated
09/19/2025
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