Healthcare Provider Details

I. General information

NPI: 1235840844
Provider Name (Legal Business Name): MARK F LORENZO JR. CPSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 12/06/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 PINSBAARI DR
PUEBLO OF ACOMA NM
87034
US

IV. Provider business mailing address

PO BOX 328
PUEBLO OF ACOMA NM
87034-0328
US

V. Phone/Fax

Practice location:
  • Phone: 505-552-6661
  • Fax:
Mailing address:
  • Phone: 505-552-6661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: