Individual
TRICIA ANNETTE LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 LAKEFRONT WAY, TWO RIVERS, WI 54241-3301
(920) 320-2436
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39237
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43493500
—
WI
Enumeration date
05/08/2007
Last updated
12/14/2017
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