Individual
MR. MICHAEL ANTHONY LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
8929 LARCHWOOD CT, SAINT LOUIS, MO 63126-2442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012028011
MO
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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