MEDICARE: GERARDO LORENZANA MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	10423	NV
2	207R00000X	Internal Medicine Physician	10423	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01371458	OTHER	NV	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1740292630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERARDO LORENZANA MD

Provider Business Mailing Address
First Line	:	1800 W. CHARLESTON BLVD. STE. 508
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102
Country	:	US
Telephone Number	:	702-383-2688
Fax Number	:	702-671-6595

Provider Business Practice Location Address
First Line	:	5785 CENTENNIAL CENTER BLVD STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-7109
Country	:	US
Telephone Number	:	702-383-2273
Fax Number	:	702-383-6266

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/31/2025

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Directions to “ GERARDO LORENZANA MD” Practice Location

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