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Individual

DR. TIMOTHY CHRISTOPHER LORENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
155 RIVER PARK XING, WOODSTOCK, GA 30188-7801
(770) 924-9858
(770) 924-9946
Mailing address
155 RIVER PARK XING, WOODSTOCK, GA 30188-7801
(770) 924-9858
(770) 924-9946

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
048908
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000869459D
GA
Enumeration date
11/06/2006
Last updated
04/28/2014
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