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Individual

LLOYD LORENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 W OLD KEY DR, PERU, IN 46970-9057
(765) 475-6963
(765) 475-2833
Mailing address
315 W OLD KEY DR, PERU, IN 46970-9057
(765) 475-6963
(765) 475-2833

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01040493
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100335260
IN
Enumeration date
10/31/2006
Last updated
03/23/2021
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