Individual
NICOLE DANIELLE LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 MIDDLE SETTLEMENT RD STE 210, NEW HARTFORD, NY 13413-5332
(315) 738-4901
(315) 624-7699
Mailing address
4401 MIDDLE SETTLEMENT RD STE 210, NEW HARTFORD, NY 13413-5332
(315) 738-4901
(315) 624-7699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
327194
NY
208600000X
Surgery Physician
4301090377
MI
208600000X
Surgery Physician
76921
MT
208600000X
Surgery Physician
MD156731
OR
Other
Enumeration date
06/21/2007
Last updated
06/26/2024
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