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NPI Code Detail

MEDICARE: LAURIE MICHELE LENZ DO

MEDICARE: LAURIE MICHELE LENZ DO
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
1207R00000XInternal Medicine PhysicianOS10708FL
2207N00000XDermatology PhysicianOS10708FL

General Provider Information

NPI Number : 1073849147
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE MICHELE LENZ DO
Provider Business Mailing Address
First Line : 2845 PGA BLVD
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2910
Country : US
Telephone Number : 561-693-0540
Fax Number :
Provider Business Practice Location Address
First Line : 2031 PALM BEACH LAKES BLVD
Second Line : #101
City : WEST PALM BEACH
State : FL
Zip : 33409-6501
Country : US
Telephone Number : 561-296-7710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2009
Last Update Date : 10/28/2020

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Directions to “ LAURIE MICHELE LENZ DO” Practice Location

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