Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 35.123361 | OH |
Y | 207RH0002X | Hospice and Palliative Medicine | 61117 | MN |
N | 208D00000X | General Practice Physician | 109131 | MN |
NPI | 1225390073 |
---|---|
Provider Name | Amanda K Lorenz |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2012 |
Last Update Date | 18/08/2020 |