Provider Demographics
NPI:1730243247
Name:LORTSCHER, LOREN C (MD)
Entity type:Individual
Prefix:
First Name:LOREN
Middle Name:C
Last Name:LORTSCHER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:122 EAST 82ND STREET
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0873
Mailing Address - Country:US
Mailing Address - Phone:212-288-4682
Mailing Address - Fax:212-865-1634
Practice Address - Street 1:122 EAST 82ND STREET
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0873
Practice Address - Country:US
Practice Address - Phone:212-288-4682
Practice Address - Fax:212-865-1634
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1268732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C07964Medicare UPIN