Individual
LISA MARIE LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2027 LEBANON CHURCH RD, WEST MIFFLIN, PA 15122-2461
(412) 655-6513
(412) 655-6513
Mailing address
103 BETHANY DR, MC MURRAY, PA 15317-2909
(724) 942-2260
(412) 655-6513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000136
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475302 05
—
PA
01
—
410036489
RAILROAD MEDICARE
PA
Enumeration date
10/04/2005
Last updated
10/02/2008
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