Individual
MRS. CARA BROOKE LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
3715 DAUPHIN ST, BLDG. 2, SUITE 3 B, MOBILE, AL 36608-1771
(251) 344-5900
(251) 344-5172
Mailing address
3715 DAUPHIN ST, BLDG. 2, SUITE 3 B, MOBILE, AL 36608-1771
(251) 344-5900
(251) 344-5172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29836
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I161642
MEDICARE PTAN
AL
05
—
129348
—
AL
Enumeration date
04/19/2007
Last updated
08/22/2011
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