MEDICARE: JENNIFER LENCHNER 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
1	2084P0800X	Psychiatry Physician	5101028422	MI

General Provider Information

NPI Number	:	1588244768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LENCHNER DO

Provider Business Mailing Address
First Line	:	300 68TH ST SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49548-6927
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 CHAMBERS RD
Second Line	:
City	:	CARO
State	:	MI
Zip	:	48723-9240
Country	:	US
Telephone Number	:	989-672-9261
Fax Number	:

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

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	08/05/2025

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