Individual
DR. AIMEE MICHELLE LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5525
(573) 632-5811
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023050580
MO
208000000X
Pediatrics Physician
34108
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239640
—
IA
Enumeration date
07/01/2005
Last updated
04/15/2024
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