Healthcare Provider Details

I. General information

NPI: 1174550941
Provider Name (Legal Business Name): DELREEN E. SCHMIDT-LENZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 1 BOX 98
STRASBURG IL
62465-9713
US

IV. Provider business mailing address

RR 1 BOX 98
STRASBURG IL
62465-9713
US

V. Phone/Fax

Practice location:
  • Phone: 217-644-2427
  • Fax: 217-644-2427
Mailing address:
  • Phone: 217-644-2427
  • Fax: 217-644-2427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: