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NPI Code Detail

MEDICARE: MR. WAYNE PHILIP LENZ LMFT

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
1106H00000XMarriage & Family TherapistLMFT35899CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11134518277OTHERCAANTHEM BLUE CROSS

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 : 4300 ROSE DR
Second Line :
City : YORBA LINDA
State : CA
Zip : 92886-2026
Country : US
Telephone Number : 714-579-6846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 01/22/2026

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