Individual
MR. BERT T LENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
140 COMMONWEALTH AVE, CHESTNUT HILL, MA 02467-3800
(617) 552-8779
(617) 552-2392
Mailing address
118 NEW HAVEN ST, WEST ROXBURY, MA 02132-5709
(617) 552-8779
(617) 552-2392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
774
MA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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