Lenzendorf, Julie Ann

Lenzendorf, Julie Ann is an individual health care provider with primary practice located at 203 W Sunny Lane , Janesville WI 53546. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lenzendorf, Julie Ann can be contacted via phone (608) 741-4500.

Contact Information

Primary practice address
203 W Sunny Lane Janesville WI 53546
Phone: (608) 741-4500
Fax: (608) 741-4516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15261132 Wisconsin

Profile Details

NPI number 1689851735
LBN Legal business name Lenzendorf, Julie Ann
Credentials CSAC 15261132
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Jan 30th, 2008 - about 17 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 1689851735 NPPES
Wisconsin MEDICAID 42247900

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