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Individual

DR. CONNIE L LENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AUD.

Contact information

Practice address
1953 1ST AVE SE, STE B2, CEDAR RAPIDS, IA 52402-5328
(319) 364-3322
(319) 362-2422
Mailing address
50 E CHESTNUT ST, NORTH LIBERTY, IA 52317-9305
(319) 364-3322
(319) 362-2422

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
298
IA
237600000X
Audiologist-Hearing Aid Fitter
506
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3061911
IA
01
99893
BLUE CROSS BLUE SHIELD
IA
01
99971
BCBS OF IOWA
IA
01
F234880
MIDLAND'S CHOICE
IA
Enumeration date
10/12/2006
Last updated
07/08/2007
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