Individual
CONSUELO TERESA LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7710 MERCY ROAD, SUITE 307, OMAHA, NE 68124
(402) 398-5858
(402) 398-5857
Mailing address
7710 MERCY ROAD, SUITE 307, OMAHA, NE 68124
(402) 398-5858
(402) 398-5857
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20268
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095658
IA MEDICAID
—
05
—
47037661516
—
NE
Enumeration date
08/30/2006
Last updated
07/08/2007
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