Lorrenzo L Anderson
Individual provider Active NPI Case Manager/Care Coordinator · Springfield, OH
NPI 1558020669 · NPPES record last updated Apr 8, 2022
Key facts
- NPI
- 1558020669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- CDCA.180288 (OH)
- Practice address
- 2624 Lexington Ave
Springfield, OH 45505-2620 - Phone
- (937) 328-5300
- Fax
- (937) 322-4900
- NPI assigned
- Dec 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.180288 | OH | MD | Case Manager/Care Coordinator |
| APS.002340 | OH | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.002340 | OH | |
| Case Manager/Care Coordinator | 171M00000X | CDCA.180288 | OH | Yes |
Addresses
Primary practice location
2624 Lexington Ave
Springfield, OH 45505-2620
Mailing address
2624 Lexington Ave
Springfield, OH 45505-2620
Phone (937) 328-5300
Other providers in Springfield, OH
- Donald Amos
- Amrit Lal Chadha M.D., Inc
- Anchored Solutions
- Michelle Anders
- April Dawn Anderson
- Ronnie Lee Anderson
- Shylynn Izbella Anderson
- Tedros Andom
- Mary Susan Andorfer
- Ronda Lea Andorfer
All providers in Springfield, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.