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Individual

WILLIAM RICHARD LORENZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 BLYTHE BLVD STE 601, CHARLOTTE, NC 28203-5812
(704) 355-7874
Mailing address
1000 BLYTHE BLVD STE 601, CHARLOTTE, NC 28203-5812
(704) 355-7874
(704) 355-5619

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
302741
NC
390200000X
Student in an Organized Health Care Education/Training Program
302741
NC

Other

Enumeration date
03/24/2021
Last updated
03/28/2021
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