Provider Demographics
NPI:1811260300
Name:LORENZ, KATHERINE BREVARD (PA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BREVARD
Last Name:LORENZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:106 LONG SHOALS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8432
Mailing Address - Country:US
Mailing Address - Phone:828-435-8120
Mailing Address - Fax:828-435-8121
Practice Address - Street 1:106 LONG SHOALS RD STE 200
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8432
Practice Address - Country:US
Practice Address - Phone:828-435-8120
Practice Address - Fax:828-435-8121
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2025-02-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC8055BOtherMEDICARE PTAN