Healthcare Provider Details

I. General information

NPI: 1013191725
Provider Name (Legal Business Name): LORENZ OPHTHALMOLOGY CENTER LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 W POST RD
LAS VEGAS NV
89148-2418
US

IV. Provider business mailing address

2598 WINDMILL PKWY
HENDERSON NV
89074-5476
US

V. Phone/Fax

Practice location:
  • Phone: 702-255-6665
  • Fax: 702-255-2994
Mailing address:
  • Phone: 702-896-6043
  • Fax: 702-896-9591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNV

VIII. Authorized Official

Name: DR. DOUGLAS C. LORENZ
Title or Position: PRESIDENT
Credential: D.O.
Phone: 702-896-6043