MICHAEL P LORENTZEN

BOISE, ID
NPI1033638150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  56892)
Enumeration Date2017-09-11
Last Update Date2017-09-30
Business Address
MR. MICHAEL P LORENTZEN NP
190 E BANNOCK ST FL 9
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
MR. MICHAEL P LORENTZEN NP
2312 N 16TH ST
BOISE, ID 83702-1227
Phone number: 208-490-0616
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