Provider Demographics
NPI:1992752661
Name:LORENZANA, VONA WRIGHT (MD)
Entity type:Individual
Prefix:
First Name:VONA WRIGHT
Middle Name:
Last Name:LORENZANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 RANCHO VIEW RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-2234
Mailing Address - Country:US
Mailing Address - Phone:925-324-1391
Mailing Address - Fax:
Practice Address - Street 1:1612 RANCHO VIEW RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-2234
Practice Address - Country:US
Practice Address - Phone:925-324-1391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71680207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G716802Medicare PIN
CAH32384Medicare UPIN