Healthcare Provider Details

I. General information

NPI: 1033230404
Provider Name (Legal Business Name): LORENZO THOMAS HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 1ST ST UNIT 3806
SAN FRANCISCO CA
94105-4650
US

IV. Provider business mailing address

425 1ST ST UNIT 3806
SAN FRANCISCO CA
94105-4650
US

V. Phone/Fax

Practice location:
  • Phone: 646-430-0767
  • Fax: 999-999-9999
Mailing address:
  • Phone: 646-430-0767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number01088475A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number262001
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number55409
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01088475A
License Number StateIN
# 6
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberC168826
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD60078993
License Number StateWA
# 8
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number55409
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: