Individual
DR. KRAIG ELMER LORENZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.D
Contact information
Practice address
205 E RAY FINE BLVD SUITE 5, ROLAND, OK 74954
(918) 503-6235
(918) 503-6239
Mailing address
PO BOX 961, ROLAND, OK 74954
(918) 503-6235
(918) 503-6239
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G89146
CA
Other
Enumeration date
11/16/2015
Last updated
11/04/2021
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