Individual
DR. ROBERT L LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-9729
Mailing address
4050 PENHURST DR, MARIETTA, GA 30062-6161
(770) 977-5382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25215
STATE LICENSE
GA
Enumeration date
07/18/2006
Last updated
07/08/2007
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