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NPI Code Detail

MEDICARE: LORENZO DIPACE DPT

MEDICARE: LORENZO DIPACE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501019037MI

General Provider Information

NPI Number : 1013549971
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORENZO DIPACE DPT
Provider Business Mailing Address
First Line : 33900 HARPER AVE STE 104
Second Line :
City : CLINTON TWP
State : MI
Zip : 48035-4258
Country : US
Telephone Number : 586-350-2644
Fax Number :
Provider Business Practice Location Address
First Line : 36880 WOODWARD AVE STE 102
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-0920
Country : US
Telephone Number : 248-480-7440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2020
Last Update Date : 02/09/2026

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Directions to “ LORENZO DIPACE DPT” Practice Location

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