Healthcare Provider Details

I. General information

NPI: 1043467863
Provider Name (Legal Business Name): ANNE R LORENZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 02/06/2020
Certification Date: 02/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S 16TH ST
LINCOLN NE
68502-3704
US

IV. Provider business mailing address

2300 S 16TH ST
LINCOLN NE
68502-3704
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-4456
  • Fax: 402-481-4286
Mailing address:
  • Phone: 402-481-4456
  • Fax: 402-481-4286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number110970
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: