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Contact Information

L A LORENZO MD PATHOLOGY CONSULT SERVICES P A
171 FAIRVIEW RD
MOORESVILLE, NC28117-9500
 Phone: 704-660-4511
 Fax: 704-660-4903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for L A LORENZO MD PATHOLOGY CONSULT SERVICES P A

NPI # 1144283888
LBN Legal business name L A LORENZO MD PATHOLOGY CONSULT SERVICES P A
Authorized official ALLISON WOOTEN - (ACCOUNT REP)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2006
Last updated 01/08/2013 - About 13 years ago
Identifiers
NC License # 23860
NC Medicaid 89014V3
Other 34D0243371 CLIA REGISTRATION #
Other CL6158 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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