Individual
JASON LORENZA IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 N HOUSTON SCHOOL RD APT 8206, LANCASTER, TX 75134-3083
(972) 639-7147
Mailing address
1605 N HOUSTON SCHOOL RD APT 8206, LANCASTER, TX 75134-3083
(972) 639-7147
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
46958240
TX
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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