Provider Demographics
NPI:1215286174
Name:LORENZ, SAVANNA LEA (DC)
Entity type:Individual
Prefix:DR
First Name:SAVANNA
Middle Name:LEA
Last Name:LORENZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SAVANNA
Other - Middle Name:LEA
Other - Last Name:MESSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7356 STOCKMAN ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-6006
Mailing Address - Country:US
Mailing Address - Phone:307-632-3399
Mailing Address - Fax:307-632-2050
Practice Address - Street 1:7356 STOCKMAN ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-6006
Practice Address - Country:US
Practice Address - Phone:307-632-3399
Practice Address - Fax:307-632-2050
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY729111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor