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NPI Code Detail

MEDICARE: LISA A LORENZETTI MD

MEDICARE: LISA A LORENZETTI 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
1207V00000XObstetrics & Gynecology Physician0426911KS

Other Identifiers

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

General Provider Information

NPI Number : 1922092212
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA A LORENZETTI MD
Provider Business Mailing Address
First Line : 2040 HUTTON RD
Second Line : SUITE 102
City : KANSAS CITY
State : KS
Zip : 66109-4526
Country : US
Telephone Number : 913-299-3700
Fax Number : 913-299-3050
Provider Business Practice Location Address
First Line : 2040 HUTTON RD
Second Line : SUITE 102
City : KANSAS CITY
State : KS
Zip : 66109-4526
Country : US
Telephone Number : 913-299-3700
Fax Number : 913-299-3050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 03/13/2013

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