Healthcare Provider Details

I. General information

NPI: 1073394458
Provider Name (Legal Business Name): LORENZO BERLANGA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 N SAGINAW RD
MIDLAND MI
48640-2953
US

IV. Provider business mailing address

4800 N SAGINAW RD
MIDLAND MI
48640-2953
US

V. Phone/Fax

Practice location:
  • Phone: 989-631-4545
  • Fax: 989-631-9949
Mailing address:
  • Phone: 989-631-4545
  • Fax: 989-631-9949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LORENZO D BERLANGA
Title or Position: PRESIDENT
Credential: MD
Phone: 989-631-4545