Individual
FREDERICK S LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5885
(270) 659-5852
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5885
(270) 659-5852
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2020038084
MO
207Y00000X
Otolaryngology Physician
35084750
OH
207Y00000X
Otolaryngology Physician
Primary
47589
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100344950
—
KY
Enumeration date
06/22/2006
Last updated
06/18/2024
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