Healthcare Provider Details

I. General information

NPI: 1477603249
Provider Name (Legal Business Name): ARTHUR J LORENZ MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 TARAVAL ST
SAN FRANCISCO CA
94116-2516
US

IV. Provider business mailing address

368 FELL ST
SAN FRANCISCO CA
94102-5144
US

V. Phone/Fax

Practice location:
  • Phone: 415-752-3416
  • Fax: 415-752-3483
Mailing address:
  • Phone: 415-861-0828
  • Fax: 415-861-0257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number45350
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: