Dr Randall G Lorenz, MD | |
623 South Main Street, Moscow, ID 83843 | |
(208) 882-2011 | |
(208) 883-1853 |
Full Name | Dr Randall G Lorenz |
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Gender | Male |
Speciality | Internal Medicine |
Location | 623 South Main Street, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669430955 | NPI | - | NPPES |
946345 | Medicaid | AZ |
Entity Name | Lodi Memorial Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
Mailing Address | Practice Location Address |
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Dr Randall G Lorenz, MD 623 South Main Street, Moscow, ID 83843 Ph: (208) 882-2011 | Dr Randall G Lorenz, MD 623 South Main Street, Moscow, ID 83843 Ph: (208) 882-2011 |
Dr. Lesley Anne Cruz Portugal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Robert Neal Spady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 S Washington, Suite 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306 | |
Dr. Srijana Rai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St Ste 210, Moscow, ID 83843 Phone: 509-228-1000 Fax: 509-252-9300 | |
Dr. Christopher J Bullard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 719 S Main St, Moscow, ID 83843 Phone: 208-883-1152 Fax: 208-882-1486 | |
Dr. Randall F Kloepfer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Janice Boughton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 509-334-8567 Fax: 208-883-6551 | |
Dr. Ellenmarie Zwank Brown, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 318-329-4719 |