Individual
MR. JASON V. LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8318
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP2301
MN
363LF0000X
Family Nurse Practitioner
R 158074-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103785400
—
MN
Enumeration date
12/19/2005
Last updated
01/11/2018
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