NPIMap

Christian Filice, BA

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Victoria, MN

NPI 1225817869 · NPPES record last updated Sep 25, 2023

Key facts

NPI
1225817869
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1772 Stieger Lake LN Ste 220
Victoria, MN 55386-7720
Phone
(952) 443-4600
NPI assigned
Sep 25, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenz Clinic, LLC Current
since Oct 1, 2023		 Accepting new patients

Locations

1772 Stieger Lake Ln
Ste 220
Victoria, MN 55386
Phone (763) 443-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1772 Stieger Lake LN Ste 220
Victoria, MN 55386-7720

Mailing address

1772 Stieger Lake LN Ste 220
Victoria, MN 55386-7720
Phone (952) 443-4600

Other providers in Victoria, MN

All providers in Victoria, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.