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Individual

JACOB LENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
717 S HOUSTON AVE STE 200, TULSA, OK 74127-9005
(918) 586-4500
Mailing address
4535 LINDELL BLVD APT 407, SAINT LOUIS, MO 63108-2022
(402) 301-1115

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/22/2023
Last updated
03/22/2023
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