Individual
RAYDENIS LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5353 W DESERT INN RD APT 1158, LAS VEGAS, NV 89146-7945
(702) 890-4767
Mailing address
5353 W DESERT INN RD APT 1158, LAS VEGAS, NV 89146-7945
(702) 890-4767
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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