Individual
DR. LORENZO MAYO CROWELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5716 CLEVELAND ST STE 200, VIRGINIA BEACH, VA 23462-1784
(757) 490-4802
Mailing address
5716 CLEVELAND ST STE 200, VIRGINIA BEACH, VA 23462-1784
(757) 490-4802
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102207787
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2019
Last updated
10/17/2023
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