Individual
MS. KIMBERLY A LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
3441 LAKE SHORE CV, CHASKA, MN 55318-1012
(559) 375-4555
Mailing address
3441 LAKE SHORE CV, CHASKA, MN 55318-1012
(559) 375-4555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9251
MN
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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