Most Relevant Information
Provider Data
| NPI Number: | 1003232414 |
| Provider Name: | KRISTEN BERNARDINO LORENZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2014 |
| Last Updated: | 03/10/2014 |
Provider Practice Location
13800 HEACOCK ST STE C236
MORENO VALLEY
CA
925533364
Practice Location Phone/Fax
| Phone: | 9516530819 |
| Fax: |
Provider Mailing Location
3364 FIR CIR
LAKE ELSINORE
CA
925302013
Provider Mailing Phone/Fax
| Phone: | 9517333322 |
| Fax: |