JHONNY LORENZO

SAINT LOUIS, MO
NPI1255066122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: MO  2023000420)
Additional Taxonomies207LC0200X Anesthesiology, Critical Care Medicine
(Licence: GA  056859477)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-07-23
Last Update Date2023-01-11
Business Address
JHONNY LORENZO C-AA
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 636-386-9224
Mailing Address
JHONNY LORENZO C-AA
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224