Provider Demographics
NPI:1306050315
Name:LORENZANA, LAURA LEE (LBSW)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LEE
Last Name:LORENZANA
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5122 SIERRA MADRE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-5916
Mailing Address - Country:US
Mailing Address - Phone:210-490-4300
Mailing Address - Fax:210-490-5196
Practice Address - Street 1:13430 WEST AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2005
Practice Address - Country:US
Practice Address - Phone:210-490-4300
Practice Address - Fax:210-490-5196
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31544171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator