MR. Lorenzo Southall, C.S.
NPI #1497067060 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1497067060
- Entity Type
- Individual
- Name
- MR. Lorenzo Southall, C.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- C.S.
- Enumeration Date
- Jul 11, 2010
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 555 SCHILLER ST.
- Address 2
- #20
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-2995
- Phone
- (608) 341-8249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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