Individual
BRIAN ALEXANDER LENSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3109 COFFEE RD, STE C, MODESTO, CA 95355-1766
(209) 572-8528
(209) 572-8530
Mailing address
PO BOX 576644, MODESTO, CA 95357-6644
(209) 572-8528
(209) 572-8530
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G75079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G750791
—
CA
Enumeration date
01/26/2006
Last updated
10/15/2010
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