Lorenzen, Mark A
Lorenzen, Mark A is an sole proprietor health care provider with primary practice located at 301B Richland West Cir , Waco TX 76712-7919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lorenzen, Mark A can be contacted via phone (254) 772-2722.Contact Information
Primary practice address
301B Richland West Cir
Waco TX 76712-7919
Phone: (254) 772-2722
Fax: (254) 772-4075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E8675 | Texas |
Profile Details
| NPI number | 1023067303 |
|---|---|
| LBN Legal business name | Lorenzen, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Jan 28th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023067303 | NPPES |
| Texas | Other | 00MF72 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 0525246 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 6909402 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 20362682 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 742171395001 | BLUE CROSS BLUE SHIELD |
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