Individual
DR. RICHARD C. LENNERTZ JR.
Active
Individual
DR. RICHARD C. LENNERTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25978-020
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
25978
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050085808
RAIL ROAD MEDICARE
—
05
—
30752400
—
WI
Enumeration date
11/30/2005
Last updated
06/22/2017
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