Healthcare Provider Details
I. General information
NPI: 1710911912
Provider Name (Legal Business Name): WILLIAM H. LENZ, DPM, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2006
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
495 WATERFRONT DR E SUITE 230
HOMESTEAD PA
15120-1140
US
IV. Provider business mailing address
495 WATERFRONT DR E SUITE 230
HOMESTEAD PA
15120-1140
US
V. Phone/Fax
- Phone: 412-461-1108
- Fax: 412-461-5490
- Phone: 412-461-1108
- Fax: 412-461-5490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DIANE
L
LYNCH
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 412-461-1108