Gomez Lorenzo, Victor Ivan

Gomez Lorenzo, Victor Ivan is an individual health care provider with primary practice located at 2115 S Fremont Ave Suite 2300, Springfield MO 65804-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gomez Lorenzo, Victor Ivan can be contacted via phone (417) 820-5600.

Contact Information

Primary practice address
2115 S Fremont Ave Suite 2300 Springfield MO 65804-2239
Phone: (417) 820-5600
Fax: (417) 820-5606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015019926 Missouri

Profile Details

NPI number 1821357864
LBN Legal business name Gomez Lorenzo, Victor Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated Nov 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821357864 NPPES
Missouri MEDICAID 1821357864

Popular Providers