Marek Michal Lorenc, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

MAREK MICHAL LORENC, M.D.

Doing business as

Dermatology & Cosmetic Surgery Center

Practice address

3562 Round Barn Cir
Suite 320
Santa Rosa, CA 95403-0179

Phone

(707) 578-1900

Fax

(707) 578-1111

NPI assigned

Jan 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marek Michal Lorenc, M.D.

Title

Sole Proprietor/Owner

Phone

(707) 578-1900

Specialties & licenses 1

Addresses

Other names 1

• Dermatology & Cosmetic Surgery Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1275718108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 ROUND BARN CIR",
            "address_2": "SUITE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030179",
            "telephone_number": "707-578-1900",
            "fax_number": "707-578-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 ROUND BARN CIR",
            "address_2": "SUITE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030179",
            "telephone_number": "707-578-1900",
            "fax_number": "707-578-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAREK MICHAL LORENC, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "LORENC",
        "authorized_official_first_name": "MAREK",
        "authorized_official_middle_name": "MICHAL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/OWNER",
        "authorized_official_telephone_number": "707-578-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology & Cosmetic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Marie Marchant
• Luis Antonio Marcos Hardman
• Carrie Marcotte, PT
• David E Marcus
• Valerie R Marder, PHARMD
• Kasia Marelich, D.M.D
• Paul Margarit
• Eric Joseph Margolis, M.D.
• Joshua Margolis, L.AC.
• Joshua Todor Marian, DPT

• Procedural Dermatology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.