Individual
JASON LENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1919 UNIVERSITY AVE W, SUITE 200, SAINT PAUL, MN 55104-3453
(651) 266-7999
Mailing address
1919 UNIVERSITY AVE W, SUITE 200, SAINT PAUL, MN 55104-3453
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2008009912
MN
Other
Enumeration date
01/18/2009
Last updated
01/18/2009
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