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NPI Code Detail

MEDICARE: ANGELICA CHRISTINE LORENZO DO

MEDICARE: ANGELICA CHRISTINE LORENZO DO
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
1207V00000XObstetrics & Gynecology Physician81000WI

General Provider Information

NPI Number : 1356834170
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA CHRISTINE LORENZO DO
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5703
Country : US
Telephone Number : 715-387-5511
Fax Number :
Provider Business Practice Location Address
First Line : 2116 CRAIG RD
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6118
Country : US
Telephone Number : 715-858-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2018
Last Update Date : 02/18/2026

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