Individual
MR. MARK ALLAN P LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3821 DEWEY ST, MANITOWOC, WI 54220-5482
(920) 682-7585
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9923-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40382100
—
WI
Enumeration date
04/28/2008
Last updated
11/21/2025
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