Individual
VICTOR IVAN GOMEZ LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 S FREMONT AVE, SUITE 2300, SPRINGFIELD, MO 65804-2239
(417) 820-5600
(417) 820-5606
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015019926
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821357864
—
MO
Enumeration date
05/11/2012
Last updated
11/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us