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Individual

RICHARD J. LORENZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
(603) 752-8231
Mailing address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
(603) 752-8231

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0397 P
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30201336
NH
Enumeration date
01/25/2007
Last updated
04/20/2009
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