KEVIN MICHAEL LORENZ
Debarred entityBorn 1 Nov 1960 (65 years old),United States. Named in 5 sanctions listings.
Summary
UPIN: G06261
Sanctions and listings5
- Listed
- 3 Apr 2014
- Effective
- 30 Sep 2013
- Effective
- 20 Aug 2013
Official designation
Montana Department of Public Health & Human ServicesUS Montana Medicaid Excluded and Terminated ProvidersUnited States
- Effective
- 31 Dec 2011
Official designation
North Dakota Health and Human ServicesUS North Dakota Medicaid Terminated Provider ListUnited States
License revoked
- Listed
- 21 Aug 2013
- Effective
- 20 Aug 2013
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Effective
- 20 Aug 2013
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
Positions held1
Period not retained
OPHTHALMOLOGY (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | N13979 |
| NPI number | 1861480006 |
Other names2
Also known as2
Addresses2
620 N 9TH ST, BISMARCK, ND 58501
BISMARCK, ND 58501
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