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NPI Code Detail

MEDICARE: MARK ALBERT LORENZINI

MEDICARE:   MARK ALBERT LORENZINI
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
1207L00000XAnesthesiology PhysicianOS20445FL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174064604
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ALBERT LORENZINI
Provider Business Mailing Address
First Line : 1812 HERITAGE POND DR
Second Line : APT 106
City : CHARLOTTE
State : NC
Zip : 28262-5548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5100 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1607
Country : US
Telephone Number : 614-544-2780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2017
Last Update Date : 01/20/2026

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Directions to “ MARK ALBERT LORENZINI ” Practice Location

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