Individual
WILLIAM BEALL LORENTZ JR.
Active
Individual
WILLIAM BEALL LORENTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
0101018856
VA
2080P0210X
Pediatric Nephrology Physician
Primary
16656
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191607000
—
WV
01
—
2679
PARTNERS
NC
01
—
27224
MEDCOST
NC
01
—
4533132
AETNA
—
01
—
52915
BCBS
NC
05
—
7310404
—
VA
05
—
8952915
—
NC
05
—
Q16656
—
SC
Enumeration date
12/02/2005
Last updated
05/13/2008
Update your record
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