Individual
DR. MARK A LORENZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301B RICHLAND WEST CIR, WACO, TX 76712-7919
(254) 772-2722
(254) 772-4075
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00MF72
BLUE CROSS BLUE SHIELD
TX
01
—
0525246
UNITED HEALTHCARE
TX
01
—
20362682
BEECH STREET
TX
01
—
6909402
CIGNA
TX
01
—
742171395001
HUMANA/MILITARY-TRICARE
TX
Enumeration date
05/06/2006
Last updated
01/28/2008
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