| Lydia Lorenz, | |
|
10485 48th Ave Apt A8, Allendale, MI 49401-8485 | |
| (810) 730-0653 | |
| Not Available |
| Full Name | Lydia Lorenz |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 10485 48th Ave Apt A8, Allendale, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750835245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Michigan Modern Psychology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447701255 PECOS PAC ID: 6103162896 Enrollment ID: O20190117001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Lorenz, 10485 48th Ave Apt A8, Allendale, MI 49401-8485 Ph: () - | Lydia Lorenz, 10485 48th Ave Apt A8, Allendale, MI 49401-8485 Ph: (810) 730-0653 |
Mr. William Fields, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11092 Island Ct, Allendale, MI 49401 Phone: 810-691-8570 | |
Davinder Kaur, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11785 Restful Way, Allendale, MI 49401 Phone: 810-240-4403 | |
Mr. Warren N Leemgraven, BS, CAC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 6866 Joal St, Allendale, MI 49401 Phone: 616-895-5486 |