MAREK MICHAL LORENC M.D. NPI 1275718108

NPI Information

  • NPI: 1275718108
  • Provider Name: MAREK MICHAL LORENC, M.D.
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • Doing Business As: DERMATOLOGY & COSMETIC SURGERY CENTER
  • Address: 3562 ROUND BARN CIR
    SUITE 320
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 578-1900

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NPI Details

MAREK MICHAL LORENC, M.D. is a procedural dermatology dermatology in Santa Rosa, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). MAREK MICHAL LORENC, M.D. NPI is 1275718108. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dermatology & Cosmetic Surgery Center.

The provider's business location address is:

3562 ROUND BARN CIR
SUITE 320
SANTA ROSA, CA
ZIP 95403-179
Phone: (707) 578-1900
Fax: (707) 578-1111

The provider's authorized official is Marek Michal Lorenc .
The authorized official title is Sole Proprietor/owner and has the following contact phone number (707) 578-1900.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 7/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural DermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G530570MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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