Individual
DR. DAVID A DE LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1330 COSHOCTON AVENUE, MOUNT VERNON, OH 43050
(740) 393-9947
(740) 393-6547
Mailing address
1330 COSHOCTON AVENUE, MOUNT VERNON, OH 43050
(740) 393-9947
(740) 393-6547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1623
TN
208M00000X
Hospitalist Physician
Primary
1623
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841738652B
—
GA
Enumeration date
12/12/2005
Last updated
03/12/2013
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