Individual
TODD M LENHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2292 MAIN ST, GREEN BAY, WI 54311
(920) 465-7990
(920) 465-9634
Mailing address
PO BOX 22576, GREEN BAY, WI 54305-2576
(920) 465-7990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2662
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38597900
—
WI
Enumeration date
06/25/2006
Last updated
11/06/2014
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