Provider Demographics
NPI:1124497904
Name:DILORENZO, PATRICIA V (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:V
Last Name:DILORENZO
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 WILLIAMSBURG WEST CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2609
Mailing Address - Country:US
Mailing Address - Phone:978-604-8636
Mailing Address - Fax:
Practice Address - Street 1:137 WILLIAMSBURG WEST CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2609
Practice Address - Country:US
Practice Address - Phone:978-604-8636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000002720133N00000X
TN1084641133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist