Provider Demographics
NPI:1497732051
Name:LORENZO, LUIS H (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:H
Last Name:LORENZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PLAZA BUILDING, SUITE 150
Mailing Address - Street 2:CAMPUS BOX 20,
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-3362
Mailing Address - Country:US
Mailing Address - Phone:303-556-2525
Mailing Address - Fax:303-556-3881
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37224207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1215981634OtherNPI GROUP #
CO1497732051OtherNPI #
COC103008OtherMEDICARE GROUP #
COP00436473OtherRAILROAD MEDICARE
CO1497732051OtherNPI #
COC103008OtherMEDICARE GROUP #