Individual
MR. LEON R LORENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
301 E WASHINGTON ST, SUITE 301, GREENSBORO, NC 27401-2957
(336) 333-6853
(336) 333-6815
Mailing address
3429 GLOUCHESTER LN, GREENSBORO, NC 27410-2415
(336) 288-3611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0242
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107105
—
NC
Enumeration date
03/14/2007
Last updated
07/08/2007
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