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NPI Code Detail

MEDICARE: DR. MANUEL LORENZO MD

MEDICARE: DR. MANUEL LORENZO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianM6267TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18BV502OTHERTXBLUE CROSS AND BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093713901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANUEL LORENZO MD
Provider Business Mailing Address
First Line : 221 W COLORADO BLVD
Second Line : PAVILION II, SUITE 425
City : DALLAS
State : TX
Zip : 75208-2312
Country : US
Telephone Number : 214-947-3231
Fax Number : 214-947-3239
Provider Business Practice Location Address
First Line : 221 W COLORADO BLVD
Second Line : PAVILION II, SUITE 425
City : DALLAS
State : TX
Zip : 75208-2312
Country : US
Telephone Number : 214-947-3231
Fax Number : 214-937-3239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/17/2015

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Directions to “ DR. MANUEL LORENZO MD” Practice Location

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