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1184104036
SAMANTHA JO LORENZ
MADISON, WI
NPI
1184104036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WI 4511-23)
Enumeration Date
2018-08-20
Last Update Date
2021-11-17
Business Address
SAMANTHA JO LORENZ PA
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-1530
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Mailing Address
SAMANTHA JO LORENZ PA
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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