Individual
LENZIE MACON NEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 863-1498
Mailing address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-150145
AL
Other
Enumeration date
03/02/2022
Last updated
11/28/2023
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