Individual
MR. DANIEL DARIO LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
6811 KENILWORTH AVE FL 5, RIVERDALE, MD 20737-1333
(301) 277-6060
(301) 277-6061
Mailing address
6811 KENILWORTH AVE, 5FLOOR E-14,, RIVERDALE, MD 20737-1333
(301) 277-6060
(301) 277-6061
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-3543594
—
MD
Enumeration date
05/29/2018
Last updated
05/29/2018
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