Individual
MELISSA LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 GORDON GUTMANN BLVD STE 301, JEFFERSONVILLE, IN 47130-3767
(812) 288-9969
(812) 288-9657
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3010508
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201386570
—
IN
05
—
7100418110
—
KY
Enumeration date
07/20/2016
Last updated
08/29/2024
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