Healthcare Provider Details

I. General information

NPI: 1326973074
Provider Name (Legal Business Name): KIARA LORENZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N GEORGE MASON DR
ARLINGTON VA
22205-3683
US

IV. Provider business mailing address

8616 ETTA DR
SPRINGFIELD VA
22152-2705
US

V. Phone/Fax

Practice location:
  • Phone: 703-558-6217
  • Fax:
Mailing address:
  • Phone: 608-575-0337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202209682
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: