Provider Demographics
NPI:1326483322
Name:LORENZ, KIMBERLY (DC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:LORENZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E WAYLON JENNINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLEFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79339-3829
Mailing Address - Country:US
Mailing Address - Phone:806-485-7000
Mailing Address - Fax:806-485-7001
Practice Address - Street 1:200 E WAYLON JENNINGS BLVD
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:TX
Practice Address - Zip Code:79339-3829
Practice Address - Country:US
Practice Address - Phone:806-485-7000
Practice Address - Fax:806-485-7001
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX370626ZJ0PMedicare PIN