Individual
CRAIG ANTHONY LENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1755 W HAMMER LN STE 7B, STOCKTON, CA 95209-2900
(909) 599-0891
(909) 592-0738
Mailing address
425 W BONITA AVE STE 110, SAN DIMAS, CA 91773-2543
(909) 599-0981
(909) 592-0738
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E23380
—
CA
01
—
480008511
MEDICARE RAIL ROAD
CA
Enumeration date
05/17/2006
Last updated
11/14/2018
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