Healthcare Provider Details

I. General information

NPI: 1952544884
Provider Name (Legal Business Name): ADAM LORENZETTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24600 MILLSTREAM DRIVE SUITE 380
ALDIE VA
20105
US

IV. Provider business mailing address

P. O. BOX 715868
PHILADELPHIA PA
19171-5868
US

V. Phone/Fax

Practice location:
  • Phone: 703-810-5241
  • Fax:
Mailing address:
  • Phone: 804-327-9242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME118158
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA114337
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101258148
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: