Individual
MR. LORENZ FORTUNE FORTUNO
Active
Individual
MR. LORENZ FORTUNE FORTUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19525
MD
225100000X
Physical Therapist
Primary
2305202501
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46950048
CAREFIRST DC
—
Enumeration date
06/20/2005
Last updated
12/21/2023
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