Individual
ELIZABETH M LENZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1346 E GREEN BAY ST, SHAWANO, WI 54166-2210
(715) 526-6244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12095-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033287
—
WI
01
—
12095-24
WISCONSIN PHYSICAL THERAPY LICENSE
WI
01
—
PT009717
PT LICENSE GA
GA
Enumeration date
07/30/2009
Last updated
10/01/2024
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