Individual
DR. ELIZABETH MARY LENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD, SUITE 101, PORT ST LUCIE, FL 34986-3443
(954) 803-2822
Mailing address
1850 SW FOUNTAINVIEW BLVD, SUITE 101, PORT ST LUCIE, FL 34986-3443
(954) 803-2822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11304
FL
Other
Enumeration date
12/09/2012
Last updated
12/09/2012
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