Organization
MICHAEL S. LENERTZ, DPM, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCOTT LENERTZ DPM (DPM & OWNER)
(903) 706-5254
Entity
Organization
Contact information
Practice address
1055 CLARKSVILLE ST STE 160, PARIS, TX 75460-6085
(903) 706-5254
(903) 706-5540
Mailing address
1055 CLARKSVILLE ST STE 160, PARIS, TX 75460-6085
(903) 706-5254
(903) 706-5540
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200814860A
MEDICAID OF OKLAHOMA
OK
05
—
392876401
—
TX
Enumeration date
09/18/2018
Last updated
02/24/2022
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