Individual
DIANE LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1035 BELLEVUE AVE STE 305, SAINT LOUIS, MO 63117-1845
(314) 925-4741
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2001004924
MO
363LF0000X
Family Nurse Practitioner
Primary
2014019898
MO
Other
Enumeration date
05/21/2015
Last updated
11/10/2020
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