MEDICARE: RICHARD FRANCIS LORENZ D.O.

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
1	207P00000X	Emergency Medicine Physician	H8221	TX

General Provider Information

NPI Number	:	1457392284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD FRANCIS LORENZ D.O.

Provider Business Mailing Address
First Line	:	14107 WOODVILLE GARDENS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-1432
Country	:	US
Telephone Number	:	281-597-1302
Fax Number	:

Provider Business Practice Location Address
First Line	:	14107 WOODVILLE GARDENS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-1432
Country	:	US
Telephone Number	:	281-597-1302
Fax Number	:	281-597-8972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	03/01/2013

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