| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATHAN AUGUST LORENTZ | 1104569961 | 2022-10-02 |
Nathan August Lorentz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104569961. Registration indicates Nathan August Lorentz is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Nathan August Lorentz MD |
| Practice Office Address | 550 1ST AVE NEW YORK, NY US |
| Practice Office Telephone | 2122635506 |
| Mailing Address | 550 1ST AVE NEW YORK, NY 100166402 US |
| Business Telephone | 4253244696 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
| 13-3971298 | MEDICAID | NY |