Healthcare Provider Details

I. General information

NPI: 1497960108
Provider Name (Legal Business Name): KARYN LENIEK MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3M CENTER BLDG 220-6W08
SAINT PAUL MN
55144-1001
US

IV. Provider business mailing address

3M CENTER BLDG 220-6W08
SAINT PAUL MN
55144-1001
US

V. Phone/Fax

Practice location:
  • Phone: 651-737-4552
  • Fax:
Mailing address:
  • Phone: 651-737-4552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number58388
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number58388
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: