Provider Demographics
NPI:1417000845
Name:LORENC, Z PAUL (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:Z
Middle Name:PAUL
Last Name:LORENC
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:983 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0808
Mailing Address - Country:US
Mailing Address - Phone:212-472-2900
Mailing Address - Fax:212-472-4940
Practice Address - Street 1:983 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0808
Practice Address - Country:US
Practice Address - Phone:212-472-2900
Practice Address - Fax:212-472-4940
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY157786208200000X
CAG68334208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA61704Medicare UPIN