Organization
LORENZ CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD T. LORENZ PSY.D. (OWNER)
(952) 443-4600
Entity
Organization
Contact information
Practice address
1772 STEIGER LAKE LN, SUITE 220, VICTORIA, MN 55386-7723
(952) 443-4600
(952) 443-4604
Mailing address
PO BOX 51, 1772 STIEGER LAKE LANE SUITE 220, VICTORIA, MN 55386-0051
(952) 443-4600
(952) 443-4604
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1764
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LP5754
MN
Other
Enumeration date
01/29/2011
Last updated
08/18/2016
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