Individual
DR. MARK A LORENZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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