Individual
KELLY LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
18356 MYRTLE CT, UNIT 4, LANSING, IL 60438-3342
(219) 381-5791
Mailing address
18356 MYRTLE CT, UNIT 4, LANSING, IL 60438-3342
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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