Lenz, Craig Anthony

Lenz, Craig Anthony is an sole proprietor health care provider with primary practice located at 1755 W Hammer Ln Ste 7B , Stockton CA 95209-2900. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lenz, Craig Anthony can be contacted via phone (909) 599-0891.

Contact Information

Primary practice address
1755 W Hammer Ln Ste 7B Stockton CA 95209-2900
Fax: (909) 592-0738
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2338 California

Profile Details

NPI number 1003868100
LBN Legal business name Lenz, Craig Anthony
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Nov 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003868100 NPPES
California MEDICAID 000E23380
California Other 480008511

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