Provider Demographics
NPI:1407153646
Name:LORENSON, AARON KYLE (PA)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:KYLE
Last Name:LORENSON
Suffix:
Gender:M
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:755 SCOTT CIR
Mailing Address - Street 2:
Mailing Address - City:JBPHH
Mailing Address - State:HI
Mailing Address - Zip Code:96853-5399
Mailing Address - Country:US
Mailing Address - Phone:808-448-6132
Mailing Address - Fax:
Practice Address - Street 1:755 SCOTT CIR
Practice Address - Street 2:
Practice Address - City:JBPHH
Practice Address - State:HI
Practice Address - Zip Code:96853-5399
Practice Address - Country:US
Practice Address - Phone:084-486-1328
Practice Address - Fax:254-286-7326
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2023-11-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant