Individual
BILLY KURT LENSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
7674
MT
207L00000X
Anesthesiology Physician
Primary
G9671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G96710
—
CA
Enumeration date
07/21/2006
Last updated
06/11/2019
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