Individual
JOHN JEFFREY LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 SUN AVE NE STE 650, ALBUQUERQUE, NM 87109-4670
(505) 835-6760
Mailing address
932 TULIP RD SE, RIO RANCHO, NM 87124-3858
(575) 639-1796
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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