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Contact Information

BETH W LORENZ, PA-C
984 WHITTIER HIGHWAY
MOULTONBOROUGH, NH03254
 Phone: 603-476-2216
 Fax: 603-476-5396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BETH W LORENZ · (Female)

NPI Number 1124027396
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/19/2005
Last updated 10/22/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 0210P
  • NH Medicaid 30331636
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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