Provider Demographics
NPI:1699700955
Name:TRIANA, LORENZO (MD)
Entity type:Individual
Prefix:
First Name:LORENZO
Middle Name:
Last Name:TRIANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5824 W PLANO PKWY
Mailing Address - Street 2:104
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4636
Mailing Address - Country:US
Mailing Address - Phone:972-818-9355
Mailing Address - Fax:972-818-9356
Practice Address - Street 1:5824 W PLANO PKWY
Practice Address - Street 2:104
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4636
Practice Address - Country:US
Practice Address - Phone:972-818-9355
Practice Address - Fax:972-818-9356
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ23822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry