Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | IL |
NPI | 1336114636 |
---|---|
Provider Name | Rodney Lorenz |
First Address | Peoria, IL 61605-2576 |
Second Address | Peoria, IL 61603-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07215036 | BCBS (01) | IL |
F18386 | (02) | IL |
IL01AN | JOHN DEERE (01) | IL |