Healthcare Provider Details

I. General information

NPI: 1881526986
Provider Name (Legal Business Name): LORALEE LORENTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 ROOSEVELT RD
REDLANDS CA
92374-6296
US

IV. Provider business mailing address

814 ROOSEVELT RD
REDLANDS CA
92374-6296
US

V. Phone/Fax

Practice location:
  • Phone: 909-641-7230
  • Fax:
Mailing address:
  • Phone: 909-641-7230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number12922
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: