Individual
THOMAS J LORENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10307 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825-1632
(260) 458-3440
(260) 458-3441
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01047928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160050661
RAIL ROAD MEDICARE
IN
05
—
200167580
—
IN
Enumeration date
03/10/2006
Last updated
12/02/2024
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