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NPI Code Detail

MEDICARE: THOMAS RENZ D.O.

MEDICARE: THOMAS RENZ 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
1207X00000XOrthopaedic Surgery PhysicianOS008110LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200028360OTHERPAMEDICARE-RAILROAD
2RE505940OTHERPAMEDICARE-DME

General Provider Information

NPI Number : 1548256597
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS RENZ D.O.
Provider Business Mailing Address
First Line : 231 GRANITE RUN DR
Second Line :
City : LANCASTER
State : PA
Zip : 17601-6823
Country : US
Telephone Number : 717-560-4200
Fax Number : 717-560-4159
Provider Business Practice Location Address
First Line : 703 LAMPETER RD
Second Line :
City : LANCASTER
State : PA
Zip : 17602-4013
Country : US
Telephone Number : 717-291-1881
Fax Number : 717-293-9181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 01/30/2025

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Directions to “ THOMAS RENZ D.O.” Practice Location

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