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Individual

DR. LORENZO B SANTARINA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
937 GREGORY DRIVE, ROANOKE RAPIDS, NC 27870
(252) 535-2111
(252) 535-1295
Mailing address
PO BOX 220, ROANOKE RAPIDS, NC 27870
(252) 535-2111
(252) 535-1295

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200100773
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129UG
BCBS NC
05
890265V
NC
05
89129UG
NC
Enumeration date
05/16/2006
Last updated
11/27/2012
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