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Organization

TRUE NORTH EMERGENCY MEDICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON D. LORENC MD (OWNER/PHYSICIAN)
(315) 782-2669
Entity
Organization

Contact information

Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 782-2669
(315) 788-4980
Mailing address
1116 ARSENAL ST, SUITE 504, WATERTOWN, NY 13601-2229
(315) 782-2669
(315) 788-4980

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
227469
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02708405
NY
Enumeration date
07/25/2013
Last updated
07/25/2013
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