Individual
JASON LENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(480) 747-1435
Mailing address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
07/10/2023
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