Healthcare Provider Details

I. General information

NPI: 1366991341
Provider Name (Legal Business Name): EVA LORENZ LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2016
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 COTTAGE AVE
CASHMERE WA
98815-1144
US

IV. Provider business mailing address

509 COTTAGE AVE
CASHMERE WA
98815-1144
US

V. Phone/Fax

Practice location:
  • Phone: 703-969-8695
  • Fax:
Mailing address:
  • Phone: 703-969-8695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW60667520
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBDC.BD.70107041
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: