Organization
LENZY DERMATOLOGY PC
Active
Other names
Lenzy Dermatology & Hair Loss Center
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA LENZY MD (OWNER/AUTHORIZED REP)
(413) 331-3676
Entity
Organization
Contact information
Practice address
1176 MEMORIAL DR, CHICOPEE, MA 01020-3958
(413) 331-3676
(413) 331-4489
Mailing address
1176 MEMORIAL DR, CHICOPEE, MA 01020-3958
(413) 331-3676
(413) 331-4489
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
243134
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100891A
—
MA
Enumeration date
03/27/2014
Last updated
01/20/2015
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