MEDICARE: MR. WAYNE PHILIP LENZ LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT35899	CA

General Provider Information

NPI Number	:	1629003421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WAYNE PHILIP LENZ LMFT

Provider Business Mailing Address
First Line	:	4300 ROSE DR
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-2026
Country	:	US
Telephone Number	:	714-269-2053
Fax Number	:

Provider Business Practice Location Address
First Line	:	5816 CORPORATE AVE STE 170
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-4736
Country	:	US
Telephone Number	:	714-269-2053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	04/09/2026

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