Individual
DEBRA L LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
423 FULTON ST, BROOKLYN, NY 11201-5121
(718) 522-5656
(718) 522-6444
Mailing address
315 54TH ST, BROOKLYN, NY 11220-3011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01447525
—
NY
Enumeration date
11/09/2011
Last updated
11/09/2011
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