Lorenzo and his older brother Frank Fertitta III were raised in Las Vegas, Nevada, after their father, Frank Fertitta Jr., moved there from Texas with his wife Victoria (née Broussard) in 1960. Fertitta Jr. became a dealer at the Stardust Casino before graduating to management positions at the Tropicana, Sahara and Circus Circus casinos.
In 1976, after observing that no casinos effectively catered to the city's residents, Fertitta Jr. built The Casino, a 5,000-square-foot establishment on Sahara Blvd. The Casino would be renamed Bingo Palace before it eventually became Palace Station.
Fertitta Jr. worked at Station Casinos, a developer and casino operator in the U.S, alongside his sons until retiring in 1993. Until his death in 2009, Fertitta Jr. remained active in other family business ventures, community service and philanthropic efforts, with Las Vegas Mayor Oscar Goodman referring to Fertitta Jr. as "one of the most successful business persons in the history of Las Vegas."

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