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NPI Code Detail

MEDICARE: DR. ROSEMARIE C LORENZETTI M.D.

MEDICARE: DR. ROSEMARIE C LORENZETTI M.D.
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
1207Q00000XFamily Medicine Physician12406WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487613998
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSEMARIE C LORENZETTI M.D.
Provider Business Mailing Address
First Line : PO BOX 897
Second Line :
City : MORGANTOWN
State : WV
Zip : 26507-0897
Country : US
Telephone Number : 304-293-7401
Fax Number : 304-293-6963
Provider Business Practice Location Address
First Line : 171 TAYLOR ST
Second Line :
City : HARPERS FERRY
State : WV
Zip : 25425-3641
Country : US
Telephone Number : 304-535-6343
Fax Number : 304-535-6618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 04/21/2022

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