Healthcare Provider Details

I. General information

NPI: 1861717811
Provider Name (Legal Business Name): MELINDA JEAN LORENSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 LAWRENCE EXPY DEPT 300
SANTA CLARA CA
95051-5173
US

IV. Provider business mailing address

700 LAWRENCE EXPY DEPT 300
SANTA CLARA CA
95051-5173
US

V. Phone/Fax

Practice location:
  • Phone: 408-851-3148
  • Fax: 408-851-1000
Mailing address:
  • Phone: 408-851-3148
  • Fax: 408-851-1000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA121337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: