Individual
LIZZETTE ANN LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-2469
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(619) 212-6747
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
01/29/2018
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