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1588383467 NPI number — RANDI LYN RENEE LORENZETTI PT, DPT

NPI Number: 1588383467
Health Care Provider/Practitioner: RANDI LYN RENEE LORENZETTI PT, DPT

Information about “1588383467” NPI (RANDI LYN RENEE LORENZETTI PT, DPT) exists in 1588383467 in HTML format HTML  |  1588383467 in plain Text format TXT  |  1588383467 in PDF (Portable Document Format) PDF  |  1588383467 in an XML format XML  formats.

NPI Number : 1588383467 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588383467",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LORENZETTI",
    "FirstName": "RANDI LYN",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HORNYAK",
    "OtherFirstName": "RANDI LYN",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PT, DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13350 CAMINO DEL SUR STE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92129-4473",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-790-8549",
    "MailingAddressFaxNumber": "858-240-7796",
    "FirstLinePracticeLocationAddress": "13350 CAMINO DEL SUR STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92129-4473",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-790-8549",
    "PracticeLocationAddressFaxNumber": "858-240-7796",
    "EnumerationDate": "08/24/2022",
    "LastUpdateDate": "09/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "302755",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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