Healthcare Provider Details

I. General information

NPI: 1649472473
Provider Name (Legal Business Name): LORENZO DE MARCHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW S-CCC
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

9801 CULVER ST
KENSINGTON MD
20895-3658
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8640
  • Fax: 202-444-8854
Mailing address:
  • Phone: 301-942-6420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD036574
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: