MEDICARE: AMANDA MARIE LENZIE

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
1	390200000X	Student in an Organized Health Care Education/Training Program	S12705	AL
2	183500000X	Pharmacist	22547	AL

General Provider Information

NPI Number	:	1528698032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MARIE LENZIE

Provider Business Mailing Address
First Line	:	901 FALLING STAR LN
Second Line	:
City	:	ALABASTER
State	:	AL
Zip	:	35007-9303
Country	:	US
Telephone Number	:	205-541-3811
Fax Number	:

Provider Business Practice Location Address
First Line	:	4730 HIGHWAY 17
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3570
Country	:	US
Telephone Number	:	205-620-0292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2020
Last Update Date	:	07/07/2022

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Directions to “ AMANDA MARIE LENZIE ” Practice Location

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