Individual
DR. FREDERICK LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 TECHNOLOGY PKWY, STE G 07, MECHANICSBURG, PA 17050-9400
(717) 791-2440
(717) 791-2441
Mailing address
307 S FRONT ST, HARRISBURG, PA 17104-1621
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
MD015683E
PA
208600000X
Surgery Physician
MD015683E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019718
KEYSTONE
PA
05
—
01029110004
—
PA
01
—
152556
UNISON
PA
01
—
19718
HIGHMARK BLUE SHIELD
PA
01
—
34250
GEISINGER
PA
01
—
4244529
AETNA
PA
Enumeration date
09/16/2005
Last updated
07/31/2015
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