| Doctor Name: | DR. NICHOLAS YUVIENCO LORENZO |
| NPI Number: | 1003958810 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 21272 |
| Business Practice Address: | 1216 Edgewood Blvd Papillion, NE - 680466024 |
| Business Phone Number: | 4026149759 |
| Business Fax Number: | 7752691922 |
| Mailing Address: | 1216 Edgewood Blvd, PAPILLION |
| State: | NE |
| Postal Code: | 680466024 |
| Phone Number: | 4026149759 |
| Fax Number: | 7752691922 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 21272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |