Individual
DR. DOUGLAS CHARLES LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2598 WINDMILL PKWY, HENDERSON, NV 89074-5476
(702) 896-6043
(702) 896-9591
Mailing address
1505 WIGWAM PKWY, SUITE 101 AND 102, HENDERSON, NV 89074
(702) 896-6043
(702) 896-9591
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
411
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020-19604
—
NV
Enumeration date
07/20/2005
Last updated
02/23/2018
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