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NPI Code Detail

MEDICARE: DR. KIM LORENZEN M.D.

MEDICARE: DR. KIM LORENZEN 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician2700SD

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 : 1740286285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIM LORENZEN M.D.
Provider Business Mailing Address
First Line : 525 N FOSTER ST
Second Line :
City : MITCHELL
State : SD
Zip : 57301-2966
Country : US
Telephone Number : 605-995-2343
Fax Number :
Provider Business Practice Location Address
First Line : 525 N FOSTER ST
Second Line :
City : MITCHELL
State : SD
Zip : 57301-2966
Country : US
Telephone Number : 605-995-2343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 08/25/2014

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