Individual
DR. MARIA LOURDES TANTENGCO LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
309 WAWARME AVE, HARTFORD, CT 06114-1509
(860) 466-6305
Mailing address
309 WAWARME AVE, HARTFORD, CT 06114-1509
(860) 466-6305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027754
CT
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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