Lorentz, Dustin Alexander
Lorentz, Dustin Alexander is an individual health care provider with primary practice located at 610 30Th Ave W , Alexandria MN 56308-3426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Lorentz, Dustin Alexander can be contacted via phone (320) 763-5123.Contact Information
Primary practice address
610 30Th Ave W
Alexandria MN 56308-3426
Phone: (320) 763-5123
Fax: (320) 763-5749
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 56197 | Minnesota |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 56197 | Minnesota |
Profile Details
NPI number | 1699979492 |
---|---|
LBN Legal business name | Lorentz, Dustin Alexander |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2007 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699979492 | NPPES |
Minnesota | Other | 56197 | MN MEDICAL LICENSE |
Minnesota | Other | 1699979492 | MN MEDICAL LICENSE |
Minnesota | MEDICAID | 1699979492 | MN MEDICAL LICENSE |
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