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General NPI Number Information
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NPI Number | 1629953872
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Entity Type | Individual
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Provider Name | BRIANNA LYNN LENZNER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 377 N ROLLING MEADOWS DR
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City | FOND DU LAC
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State | WI
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Zip | 54937-9726
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Country | US
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Telephone | 920-921-9591
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Fax | 920-921-0235
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Provider Business Mailing Address
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Address Line | W9786 BRANCH RD
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City | DEERBROOK
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State | WI
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Zip | 54424-9405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23133-40
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License Number State | WI
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