Provider Demographics
NPI:1124336482
Name:LORENZO, LISBETH (SLP -A)
Entity type:Individual
Prefix:
First Name:LISBETH
Middle Name:
Last Name:LORENZO
Suffix:
Gender:F
Credentials:SLP -A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 MADISON AVE
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1600
Mailing Address - Country:US
Mailing Address - Phone:212-684-0099
Mailing Address - Fax:
Practice Address - Street 1:2403 BLUE JAY LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3442
Practice Address - Country:US
Practice Address - Phone:917-863-4696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist