Active NPI
Lorenzo Southall, C.S.
- Student in an Organized Health Care Education/Training Program
- Sun Prairie, WI
National Provider Identifier
1497067060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 555 Schiller St.
#20
Sun Prairie, WI 53590-2995 - Phone
- (608) 341-8249
- NPI assigned
- Jul 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
555 Schiller St.
#20
Sun Prairie, WI 53590-2995
Mailing address
555 Schiller St.
#20
Sun Prairie, WI 53590-2995
Phone (608) 341-8249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1497067060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SCHILLER ST.",
"address_2": "#20",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902995",
"telephone_number": "608-341-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SCHILLER ST.",
"address_2": "#20",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902995",
"telephone_number": "608-341-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHALL",
"first_name": "LORENZO",
"name_prefix": "Mr.",
"credential": "C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-11",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.