Organization
CLINICA SAN ANTONIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO LORENZANA NP (OWNER)
(980) 613-8735
Entity
Organization
Contact information
Practice address
416 MCCULLOUGH DR STE 110, CHARLOTTE, NC 28262-4387
(980) 613-8735
(980) 613-8079
Mailing address
416 MCCULLOUGH DR STE 110, CHARLOTTE, NC 28262-4387
(980) 613-8735
(980) 613-8079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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