Farolan, Lorenzo M

Farolan, Lorenzo M is an sole proprietor health care provider with primary practice located at 2616 Cornerstone Blvd , Edinburg TX 78539-9122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Farolan, Lorenzo M can be contacted via phone (956) 687-2976.

Contact Information

Primary practice address
2616 Cornerstone Blvd Edinburg TX 78539-9122
Fax: (956) 994-1338
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F5201 Texas

Profile Details

NPI number 1770698771
LBN Legal business name Farolan, Lorenzo M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Oct 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770698771 NPPES
Texas MEDICAID 143798002

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