Individual
RITA P LORENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
300 E MAIN ST, SMITHTOWN, NY 11787-2900
(631) 265-3727
(631) 265-6263
Mailing address
117 TERRY RD, STE A, SMITHTOWN, NY 11787-5031
(631) 656-6545
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00722
NY
231HA2400X
Assistive Technology Practitioner Audiologist
14000009063
NY
231HA2500X
Assistive Technology Supplier Audiologist
14000009063
NY
Other
Enumeration date
03/02/2007
Last updated
12/05/2017
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