MEDICARE: KEVIN J LORENTSEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	MD056057L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700878683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN J LORENTSEN MD

Provider Business Mailing Address
First Line	:	1594 HEARTHSIDE DR
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17202-4705
Country	:	US
Telephone Number	:	717-163-0818
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 ST PAUL DR STE 100
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-1036
Country	:	US
Telephone Number	:	717-217-6020
Fax Number	:	717-217-6939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	03/14/2025

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