| Doctor Name: | PAMELA J. LORENZ |
| NPI Number: | 1245316116 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | 9058 |
| Business Practice Address: | 301 5th St Walhalla, ND - 582824625 |
| Business Phone Number: | 7015492710 |
| Business Fax Number: | |
| Mailing Address: | 2792 E Broadway Ave, BISMARCK |
| State: | ND |
| Postal Code: | 585015177 |
| Phone Number: | 7012219997 |
| Fax Number: | 7017511103 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 01/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 9058 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |