Individual
LYDIA LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10485 48TH AVE APT A8, ALLENDALE, MI 49401-8485
(810) 730-0653
Mailing address
10485 48TH AVE APT A8, ALLENDALE, MI 49401-8485
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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