Provider Demographics
NPI:1346383643
Name:LORINCZ, STEFAN P (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEFAN
Middle Name:P
Last Name:LORINCZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 HARPER RD FL 2
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3373
Mailing Address - Country:US
Mailing Address - Phone:304-461-3914
Mailing Address - Fax:304-461-3917
Practice Address - Street 1:1717 HARPER RD FL 2
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3373
Practice Address - Country:US
Practice Address - Phone:304-461-3914
Practice Address - Fax:304-461-3917
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV10469213ES0103X
IL016005279213ES0103X
WI995-25213ES0103X
KS12-00363213ES0103X
NE309213ES0103X
LADPM.200064213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1417457250OtherHOSPITAL GROUP NPI
WV1528441011OtherCLINIC NPI
WV1346383643Medicaid
WI005020932Medicare PIN
WI005150140Medicare PIN