Organization Active NPI

Angela L. Lorenzo, PA-C, LTD.

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1023346707
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA816 Issued in NV
Legal business name
ANGELA L. LORENZO, PA-C, LTD.
Practice address
911 N Buffalo Dr Unit 113
Las Vegas, NV 89128-0380
Phone
(702) 987-1555
Fax
(702) 541-9180
NPI assigned
Nov 18, 2009
Last updated
Feb 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Lorenzo
Title
Owner
Phone
(702) 987-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA816 NV Primary

Addresses

Primary practice location

911 N Buffalo Dr Unit 113
Las Vegas, NV 89128-0380

Mailing address

PO Box 36190
Las Vegas, NV 89133-6190
Phone (702) 540-9220

National Provider Directory

National Provider Directory

Locations

7190 Smoke Ranch Rd
Ste 110
Las Vegas, NV 89128
Phone (702) 472-9902

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1023346707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336190",
            "telephone_number": "702-540-9220",
            "fax_number": "702-987-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280380",
            "telephone_number": "702-987-1555",
            "fax_number": "702-541-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA L. LORENZO, PA-C, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-987-1555"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "PA816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.