Lisa Marie Lorentz, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

821875 Issued in MN

Practice address

410 30TH Ave E
Alexandria, MN 56308-4769

Phone

(320) 255-6339

Fax

(612) 725-1076

NPI assigned

Sep 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Walsh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1497581136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 30TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084769",
            "telephone_number": "320-255-6339",
            "fax_number": "612-725-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 30TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084769",
            "telephone_number": "320-255-6339",
            "fax_number": "612-725-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENTZ",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "821875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WALSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashlee Long
• Brenda Jo Long, CHW
• Charles Long
• Steven M Longbotham, MD
• Dustin Alexander Lorentz, M.D.
• Alyssa Marie Loveland
• LQCR, PLLC
• Susan Marie Luke
• Linzi Lund Rustad
• Anthony P Lussenhop, MD

• Licensed Practical Nurse in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.