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Individual

DR. KIM LORENZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2343
Mailing address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2343

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2700
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
399365500
MN
Enumeration date
06/21/2005
Last updated
08/25/2014
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