Individual
DR. JARED LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
35 STATE HOSPITAL DR, BANGOR, ME 04401
(207) 561-3651
(207) 947-1862
Mailing address
66 GRANDVIEW DR, NEWPORT, ME 04953-3748
(207) 355-1947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO-1234
HI
2084P0800X
Psychiatry Physician
Primary
DO-1234
HI
Other
Enumeration date
06/11/2007
Last updated
01/04/2019
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