Basic Information
Provider Information
NPI: 1598988735
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LORENZO
FirstName: PIA MARIE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 550 S BERETANIA ST
Address2: STE 601
City: HONOLULU
State: HI
PostalCode: 968132423
CountryCode: US
TelephoneNumber: 8085238461
FaxNumber:  
Practice Location
Address1: 347 N KUAKINI ST
Address2: HPM-9
City: HONOLULU
State: HI
PostalCode: 968172336
CountryCode: US
TelephoneNumber: 8085238461
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2007
LastUpdateDate: 06/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD14253HIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0300XMD14253HIY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


Home