Individual
TALYA ANN LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
66308
MN
208600000X
Surgery Physician
Primary
71647
WI
390200000X
Student in an Organized Health Care Education/Training Program
4301103690
MI
Other
Enumeration date
04/01/2013
Last updated
09/14/2020
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