Provider Demographics
NPI:1619907896
Name:LORYNSKI, STEVEN (DPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:LORYNSKI
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 1:2020 BUSTLETON RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-9732
Mailing Address - Country:US
Mailing Address - Phone:609-447-0474
Mailing Address - Fax:609-473-2919
Practice Address - Street 1:2020 BUSTLETON RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-9732
Practice Address - Country:US
Practice Address - Phone:609-447-0474
Practice Address - Fax:609-473-2919
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2016-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00216300213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1730414OtherUNITED HEALTH CARE
P61601OtherWELL CHOICE
1119368OtherHORIZON MERAN
NJ5479509Medicaid
F06631OtherHEALTH NET
24821OtherAMERIGROUP
0228607001OtherAMERIHEALTH
NJ0788510001OtherMEDICARE NSC
480015880OtherMEDICARE RAILROAD
NJMES189OtherOXFORD
0228607001OtherAMERIHEALTH
1119368OtherHORIZON MERAN