Lorrenzo L Anderson
Case Manager/Care Coordinator in Springfield, OH. Individual provider (NPI-1).
NPI number1558020669
StatusActive
Last updated in NPPESApr 8, 2022
Details
- NPI
- 1558020669
- Entity type
- Individual (NPI-1)
- Name
- Lorrenzo L Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2021
- Certification date
- Apr 8, 2022
- Last updated
- Apr 8, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | CDCA.180288 | OH | Yes |
| 175T00000X | Peer Specialist | APS.002340 | OH |
Practice location
2624 Lexington AveSpringfield, OH 45505-2620
Phone 937-328-5300 · Fax 937-322-4900
Mailing address
2624 Lexington AveSpringfield, OH 45505-2620
Phone 937-328-5300 · Fax 937-322-4900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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