Individual provider · Type 1 NPI

Lorenzo Southall, C.S.

Student in an Organized Health Care Education/Training Program · Sun Prairie, WI

NPI number 1497067060 Active

Practice location

555 Schiller St., #20
Sun Prairie, WI 53590-2995

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497067060

Lorenzo Southall, C.S.'s National Provider Identifier is 1497067060, issued on Jul 11, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sun Prairie, WI. The record was last updated on Dec 3, 2014.