Individual
DR. LORENZO LEE STARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-7905
(605) 322-8414
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
3714
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005740
—
SD
05
—
6005743
—
SD
01
—
P01111083
RR MEDICARE
—
Enumeration date
09/28/2006
Last updated
10/17/2018
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