Individual
SAMUEL LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1360 UPPER HEMBREE RD, SUITE 100, ROSWELL, GA 30076-1171
(678) 672-5100
(678) 672-5101
Mailing address
290 COUNTRY CLUB DR, SUITE 220, STOCKBRIDGE, GA 30281-9069
(678) 284-6300
(678) 284-6336
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
32235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000408196R
—
GA
Enumeration date
10/03/2006
Last updated
04/29/2020
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