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Organization
WILLIAM H. LENZ, DPM, PC
Active
Organization
WILLIAM H. LENZ, DPM, PC
Active
Other names
LENZ KRULJAC DISTAZIO DPMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE L LYNCH (OPERATIONS MANAGER)
(412) 461-1108
Entity
Organization
Contact information
Practice address
495 WATERFRONT DR E, SUITE 230, HOMESTEAD, PA 15120-1140
(412) 461-1108
(412) 461-5490
Mailing address
495 WATERFRONT DR E, SUITE 230, HOMESTEAD, PA 15120-1140
(412) 461-1108
(412) 461-5490
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366414088
INDIVIDUAL NPI JOHN DISTAZIO
PA
01
—
1760454326
INDIVIDUAL NPI WILLIAM LENZ
PA
01
—
1861464836
INDIVIDUAL NPI STEPHEN KRULJAC
PA
01
—
1972582476
INDIVIDUAL NPI KATHLEEN O'CONNELL
PA
01
—
455619
BLUE SHIELD PROVIDER NUMBER
PA
01
—
T28597
UPIN STEPHEN KRULJAC
PA
01
—
T29930
UPIN JOHN DISTAZIO
PA
01
—
T30166
UPIN WILLIAM LENZ
PA
Enumeration date
07/11/2006
Last updated
04/20/2010
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