Lorenz, Melissa

Lorenz, Melissa is an sole proprietor health care provider with primary practice located at 301 Gordon Gutmann Blvd Ste 301 , Jeffersonville IN 47130-3767. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lorenz, Melissa can be contacted via phone (812) 288-9969.

Contact Information

Primary practice address
301 Gordon Gutmann Blvd Ste 301 Jeffersonville IN 47130-3767
Phone: (812) 288-9969
Fax: (812) 288-9657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3010508 Kentucky

Profile Details

NPI number 1700239175
LBN Legal business name Lorenz, Melissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2016
Last updated Nov 17th, 2021 - about 5 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 1700239175 NPPES
Kentucky MEDICAID 7100418110
Kentucky MEDICAID 201386570

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