Healthcare Provider Details

I. General information

NPI: 1477697563
Provider Name (Legal Business Name): HERMANN PETER LORENZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: H. PETER LORENZ M.D.

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 WELCH RD
PALO ALTO CA
94304-1601
US

IV. Provider business mailing address

725 WELCH RD
PALO ALTO CA
94304-1601
US

V. Phone/Fax

Practice location:
  • Phone: 650-497-8000
  • Fax:
Mailing address:
  • Phone: 650-497-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG65307
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberG65307
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG65307
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: