Individual
VANESSA MARIA LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 RED OAK RD, BRIDGEPORT, CT 06606-1429
(347) 679-5259
Mailing address
156 RED OAK RD, BRIDGEPORT, CT 06606-1429
(347) 679-5259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F383591
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F383591
NY
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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