Individual
AUDREY LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
766 ELKS DR, DICKINSON, ND 58601-2915
(701) 483-1850
Mailing address
3087 LAKEVIEW DR, DICKINSON, ND 58601-7211
(701) 690-5998
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L12179
ND
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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