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NPI Code Detail

MEDICARE: MS. JANE F DILORENZO LCDP

MEDICARE: MS. JANE F DILORENZO LCDP
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLCDP-53RI

General Provider Information

NPI Number : 1710109848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANE F DILORENZO LCDP
Provider Business Mailing Address
First Line : 90 PRESTON AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02920-1953
Country : US
Telephone Number : 401-942-4073
Fax Number :
Provider Business Practice Location Address
First Line : 1052 PARK AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-3225
Country : US
Telephone Number : 401-461-5056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

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