Individual provider · Type 1 NPI

Samantha Jo Lorenz, PA

Surgical Physician Assistant · Madison, WI

NPI number 1184104036 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Call (608) 263-1530 Map

Fax (608) 265-8887

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4511-23 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1184104036

Samantha Jo Lorenz, PA's National Provider Identifier is 1184104036, issued on Aug 20, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madison, WI. The record was last updated on Nov 17, 2021.