Provider Demographics
NPI:1043467863
Name:LORENZ, ANNE R (APRN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:R
Last Name:LORENZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 S 16TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3704
Mailing Address - Country:US
Mailing Address - Phone:402-481-4456
Mailing Address - Fax:402-481-4286
Practice Address - Street 1:2300 S 16TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3704
Practice Address - Country:US
Practice Address - Phone:402-481-4456
Practice Address - Fax:402-481-4286
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110970363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
01942 GROUPOtherBLUE SHIELD OF NEBRASKA
NE47052796712Medicaid
01942 GROUPOtherBLUE SHIELD OF NEBRASKA