Individual
DR. CRAIG JEROME LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1519 MAIN ST, SNEEDVILLE, TN 37869-3657
(423) 733-5030
(423) 733-5092
Mailing address
265 VOLUNTEER LN, HARROGATE, TN 37752-7409
(423) 489-9725
(423) 869-7078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A7654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX76540
—
CA
Enumeration date
06/09/2006
Last updated
07/08/2007
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