Individual
DR. DUSTIN ALEXANDER LORENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 763-5123
(320) 763-5749
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-5749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56197
MN
208M00000X
Hospitalist Physician
Primary
56197
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699979492
NPI
MN
05
—
1699979492
—
MN
01
—
56197
MN MEDICAL LICENSE
MN
Enumeration date
06/13/2007
Last updated
10/21/2024
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