Provider Demographics
NPI:1760358444
Name:LORENZEN, ERIK (RN)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:LORENZEN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 E DIVERSION DAM RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85132-0189
Mailing Address - Country:US
Mailing Address - Phone:520-868-4251
Mailing Address - Fax:
Practice Address - Street 1:915 E DIVERSION DAM RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-0189
Practice Address - Country:US
Practice Address - Phone:520-868-4251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN175278163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)