Individual
DR. MANUEL LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 W COLORADO BLVD, PAVILION II, SUITE 425, DALLAS, TX 75208-2312
(214) 947-3231
(214) 937-3239
Mailing address
221 W COLORADO BLVD, PAVILION II, SUITE 425, DALLAS, TX 75208-2312
(214) 947-3231
(214) 947-3239
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M6267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186810102
—
TX
01
—
8BV502
BLUE CROSS AND BLUE SHIELD
TX
Enumeration date
07/13/2005
Last updated
07/17/2015
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