Provider Demographics
NPI:1073394458
Name:LORENZO BERLANGA MD PC
Entity type:Organization
Organization Name:LORENZO BERLANGA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:D
Authorized Official - Last Name:BERLANGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-631-4545
Mailing Address - Street 1:4800 N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2953
Mailing Address - Country:US
Mailing Address - Phone:989-631-4545
Mailing Address - Fax:989-631-9949
Practice Address - Street 1:600 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-4508
Practice Address - Country:US
Practice Address - Phone:989-486-1707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LORENZO BERLANGA MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty