Individual
ELIZABETH ANN LORENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4411
Mailing address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
(888) 244-8101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020114
NY
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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