MEDICARE: JESSICA LORENZ

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
1	235Z00000X	Speech-Language Pathologist	22008212A	IN

General Provider Information

NPI Number	:	1922957984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LORENZ

Provider Business Mailing Address
First Line	:	4835 E 71ST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3889
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7140 E WASHINGTON ST STE 100
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-6719
Country	:	US
Telephone Number	:	317-812-2760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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Directions to “ JESSICA LORENZ ” Practice Location

Language	Start Address	Practice Location

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