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Individual

ROBINNA G LORENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MDP

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
L2365
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009903365
AL
01
051510412
BLUE CROSS
AL
05
051510412
AL
01
051510628
BLUE CROSS
AL
01
290014901
RAILROAD MEDICARE
AL
Enumeration date
07/03/2006
Last updated
03/16/2013
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