Individual
JOSEPH LUIS LENNARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
2571 BARRETT PLACE DR, BALLWIN, MO 63021-7832
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2021018968
MO
Other
Enumeration date
06/11/2021
Last updated
04/08/2024
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