National Provider Identifier

Christine Vivian Lorenzo, M.D.

Christine Vivian Lorenzo, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 274-3177.

NPI 1801981402Ithaca, NYFamily Medicine Physician

Profile Overview

NPI
1801981402
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
October 03, 2006
Last Updated
August 23, 2010

Practice Location

  • 953 Danby Road
  • Hammond Health Center - Ithaca College
  • Ithaca, NY 14850

Phone: (607) 274-3177

Mailing Address

  • 217 Cornell Street
  • Ithaca, NY 14850

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1801981402
Entity Type
Individual
Last Name
Lorenzo
First Name
Christine
Middle Name
Vivian
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
217 Cornell Street
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 274-3177
Practice Street Address
953 Danby Road
Practice Address Line 2
Hammond Health Center - Ithaca College
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 274-3177
Enumeration Date
October 03, 2006
Last Updated
August 23, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
P010183553 (NY, Blue Choice Provider #), 01442768 (NY)