Individual
LANCE JOSEPH LEVERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1238 REMINGTON DR., CENTRALIA, MO 65240
(573) 682-2230
Mailing address
424 N FULLENWIDER ST, CENTRALIA, MO 65240-1022
(573) 881-9022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021021352
MO
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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