Individual
LISA LENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 SW H ST, STE 8, GRANTS PASS, OR 97526-2505
(541) 226-7170
Mailing address
1224 SW IRONWOOD DR, GRANTS PASS, OR 97526-5989
(541) 226-7170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20133
OR
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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