Individual
BRIAN LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 US HWY 61 SOUTH, CRYSTAL CITY, MO 63019
(636) 933-1111
(636) 933-1030
Mailing address
16207 BEAR BRANCH CT, CHESTERFIELD, MO 63005-7003
(636) 527-2283
(636) 527-2283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002008832
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124884
BLUE CROSS
MO
05
—
1548203268
—
MO
05
—
205819527
—
MO
01
—
426403
HEALTHLINK
MO
01
—
947071631
MERCYHEALTH
MO
01
—
P00225149
RAILROAD MEDICARE
MO
Enumeration date
06/13/2006
Last updated
08/18/2009
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