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Individual

MRS. LYNETTE MYRA LENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1155 MISSION ST SE, SUITE 205, SALEM, OR 97302
(503) 362-6304
(503) 362-5570
Mailing address
1155 MISSION ST SE, SUITE 205, SALEM, OR 97302
(503) 362-6304
(503) 362-5570

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01354
OR
363AM0700X
Medical Physician Assistant
PA01354
OR

Other

Enumeration date
05/08/2008
Last updated
04/01/2014
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