Individual
LORENZO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-6165
Mailing address
PO BOX 716, OMEGA, GA 31775-0716
(229) 520-2217
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004779
GA
Other
Enumeration date
07/21/2018
Last updated
07/21/2018
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