Individual
EVAN JAMES LENERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 W 2ND ST, HASTINGS, NE 68901-7532
(402) 751-0600
Mailing address
306 W 2ND ST, HASTINGS, NE 68901-7532
(402) 751-0600
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
391
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
07/01/2022
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