Individual
WILLIAM BEALL LORENTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
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
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