Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD012174E | PA |
NPI | 1316905748 |
---|---|
Provider Name | Stephen A Lorenz III |
First Address | Pittsburgh, PA 15215-3247 |
Second Address | Pittsburgh, PA 15215-3247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 12/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6063981 | (05) | PA |
E92038 | (02) | PW |